Healthcare Provider Details

I. General information

NPI: 1598986358
Provider Name (Legal Business Name): ALLIED HEALTH CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 38TH ST
KENNER LA
70065-3518
US

IV. Provider business mailing address

PO BOX 8055
ALEXANDRIA LA
71306-1055
US

V. Phone/Fax

Practice location:
  • Phone: 504-443-4098
  • Fax:
Mailing address:
  • Phone: 504-445-6470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
License Number
License Number StateLA

VIII. Authorized Official

Name: MR. JAMES R RICHARDSON JR.
Title or Position: CEO
Credential:
Phone: 318-445-6470