Organization
ALLEGIANCE GROUP DIVERSIFIED, INC.
Active
Other names
Allegiance Group At Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENEEN ANNETTE PALMER (CHIEF OPERATIONS OFFICER)
(703) 615-1974
Entity
Organization
Contact information
Practice address
101 E HOLLY AVE, SUITE 4, STERLING, VA 20164-5402
(703) 615-1974
(703) 738-7009
Mailing address
101 E HOLLY AVE, SUITE 4, STERLING, VA 20164-5402
(703) 615-1974
(703) 738-7009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
B911896
VA
332B00000X
Durable Medical Equipment & Medical Supplies
B911899
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B911884
BUSINESS PROFESSIONAL AND OCCUPATIONAL LICENSE
VA
01
—
B911896
BUSINESS PROFESSIONAL AND OCCUPATIONAL LICENSE
VA
01
—
B911899
BUSINESS PROFESSIONAL AND OCCUPATIONAL LICENSE
VA
Enumeration date
06/02/2009
Last updated
06/02/2009
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