Provider Demographics
NPI:1154077550
Name:ALLEGIANCE HEALTHCARE INC
Entity Type:Organization
Organization Name:ALLEGIANCE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUFUSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-232-5239
Mailing Address - Street 1:4020 MIDDLETON LOOP APT 204
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:VA
Mailing Address - Zip Code:22025-2111
Mailing Address - Country:US
Mailing Address - Phone:703-232-5239
Mailing Address - Fax:703-665-3121
Practice Address - Street 1:4020 MIDDLETON LOOP APT 204
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2111
Practice Address - Country:US
Practice Address - Phone:703-232-4999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty