Organization
ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
(903) 984-3505
(903) 983-4354
Mailing address
1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
(903) 984-3505
(903) 983-4354
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282E00000X
Long Term Care Hospital
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
12/09/2010
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