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Organization
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
Active
Organization
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
(903) 984-3505
(903) 983-4354
Mailing address
1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
(903) 984-3505
(903) 983-4354
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
NULL
282E00000X
Long Term Care Hospital
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
03/07/2008
Last updated
12/09/2010
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