Organization
ALLENGIANCE COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRESE ALLEN (OWNER)
(912) 663-4869
Entity
Organization
Contact information
Practice address
4704 LAWNDALE DR, TEXARKANA, AR 71854-1734
(912) 663-4869
Mailing address
4704 LAWNDALE DR, TEXARKANA, AR 71854-1734
(912) 663-4869
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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