MEDICARE: ALLEGIANCE GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	B512357	VA
2	332B00000X	Durable Medical Equipment & Medical Supplies	B606239	VA

General Provider Information

NPI Number	:	1831379478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGIANCE GROUP, INC.

Provider Business Mailing Address
First Line	:	101 E HOLLY AVE
Second Line	:	SUITE #4
City	:	STERLING
State	:	VA
Zip	:	20164-5402
Country	:	US
Telephone Number	:	703-615-1974
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 E HOLLY AVE
Second Line	:	SUITE #4
City	:	STERLING
State	:	VA
Zip	:	20164-5402
Country	:	US
Telephone Number	:	703-615-1974
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. DENEEN ANNETTE PALMER
Credential	:
Telephone Number	:	703-615-1974

Provider Enumeration Date	:	11/12/2007
Last Update Date	:	11/12/2007

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