Organization
ALLEGIANCE HOME HEALTH OF SOUTHEAST TEXAS
Active
Other names
Allegiance Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DARRELL SHERIDAN (ALTERNATE ADMINISTRATOR)
(409) 729-6500
Entity
Organization
Contact information
Practice address
3225 LAKE ARTHUR DR, PORT ARTHUR, TX 77642-7618
(409) 729-6500
(409) 729-6501
Mailing address
3225 LAKE ARTHUR DR, PORT ARTHUR, TX 77642-7618
(409) 729-6500
(409) 729-6501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994824
—
TX
01
—
HH406H
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/14/2006
Last updated
01/12/2012
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