Healthcare Provider Details

I. General information

NPI: 1750658928
Provider Name (Legal Business Name): ALLEGIANCE NURSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 CAMBRIA AVE STE 326
BENSALEM PA
19020-7213
US

IV. Provider business mailing address

501 CAMBRIA AVE STE 326
BENSALEM PA
19020-7213
US

V. Phone/Fax

Practice location:
  • Phone: 267-401-5975
  • Fax:
Mailing address:
  • Phone: 267-401-5975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ERNEST THOMAS
Title or Position: LPN
Credential:
Phone: 267-401-5975