Organization
ALLEGIANCE HOME HEALTHCARE CDS
Active
Parent organization
ALLEGIANCE HOME HEALTH CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGIANCE HOME HEALTH CARE LLC
Authorized official
MARSHA D MITCHELL (OWNER/EXECUTIVE DIRECTOR)
(314) 341-0915
Entity
Organization
Contact information
Practice address
6439 PLYMOUTH AVE # W116, SAINT LOUIS, MO 63133-1905
(314) 341-0915
(314) 839-8506
Mailing address
PO BOX 775015, SAINT LOUIS, MO 63177-5015
(314) 341-0915
(314) 839-8506
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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