| Allegiance Home Care | |
|
1810 Front Street Coushatta LA 71019-0763 | |
| (318) 932-6877 | |
| (318) 932-5433 |
| Full Name | Allegiance Home Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1810 Front Street, Coushatta, Louisiana |
| Authorized Official Name and Position | Joann W. Cox (ADMINISTRATOR) |
| Authorized Official Contact | 3189326877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Home Care 1810 Front Street P.o. Box 763 Coushatta LA 71019-0763 Ph: (318) 932-6877 | Allegiance Home Care 1810 Front Street Coushatta LA 71019-0763 Ph: (318) 932-6877 |
| NPI Number | 1306157664 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306157664 | NPI | - | NPPES |
| 1622532 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11716 (Louisiana) | Primary |
Red River Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Ringgold Avenue, Coushatta, LA 71019 Phone: 318-932-4029 Fax: 318-932-5914 |