Organization
ALLEGIANCE HOME HEALTH OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MAYO (ADMINISTRATOR)
(337) 462-3747
Entity
Organization
Contact information
Practice address
108 W 3RD ST, DERIDDER, LA 70634-4024
(337) 462-3747
(337) 462-3790
Mailing address
108 W 3RD ST, DERIDDER, LA 70634-4024
(337) 462-3747
(337) 462-3790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623141
—
LA
01
—
31245
BCBS
LA
Enumeration date
04/26/2019
Last updated
01/24/2025
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