Healthcare Provider Details

I. General information

NPI: 1912044330
Provider Name (Legal Business Name): ALLIED HEALTH CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 GADSDEN ST
KENNER LA
70062-5034
US

IV. Provider business mailing address

715 MAIN ST
PINEVILLE LA
71360-6937
US

V. Phone/Fax

Practice location:
  • Phone: 504-467-7924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
License Number959
License Number StateLA

VIII. Authorized Official

Name: MR. JAMES E. RICHARDSON
Title or Position: C.E.O.
Credential:
Phone: 318-445-6470