Organization
ALLEGIANCE SPECIALTY HOSPITAL OF LITTLE ROCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCK BORDELON (CEO)
(318) 629-5321
Entity
Organization
Contact information
Practice address
11401 INTERSTATE 30 FL 2, LITTLE ROCK, AR 72209-7042
(501) 455-7300
(501) 601-1333
Mailing address
504 TEXAS ST STE 200, SHREVEPORT, LA 71101-3526
(318) 226-2802
(318) 226-8205
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
AR4374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163089105
—
AR
Enumeration date
09/26/2006
Last updated
05/01/2008
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