Healthcare Provider Details

I. General information

NPI: 1619277290
Provider Name (Legal Business Name): ALLIED HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2010
Last Update Date: 10/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 GARDENA DR
NEW ORLEANS LA
70122-1913
US

IV. Provider business mailing address

4333 SHREVEPORT HWY
PINEVILLE LA
71360-3828
US

V. Phone/Fax

Practice location:
  • Phone: 504-284-5933
  • Fax:
Mailing address:
  • Phone: 318-445-6470
  • Fax: 318-641-6282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number1670
License Number StateLA

VIII. Authorized Official

Name: MS. NICOLE HOWARD
Title or Position: C.O.O.
Credential:
Phone: 318-445-6470