Organization
ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (OWNER/DIRECTOR)
(318) 226-8202
Entity
Organization
Contact information
Practice address
300 WASHINGTON AVE, GREENVILLE, MS 38701-3614
(318) 226-8202
(318) 226-8205
Mailing address
300 S WASHINGTON AVE FL 3, GREENVILLE, MS 38701-4719
(662) 332-7344
(662) 332-7925
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
09/18/2024
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