Provider Demographics
NPI:1346913761
Name:ALLIANCE ESCORT, LLP
Entity Type:Organization
Organization Name:ALLIANCE ESCORT, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-366-0461
Mailing Address - Street 1:102 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-6016
Mailing Address - Country:US
Mailing Address - Phone:337-366-0461
Mailing Address - Fax:337-210-7706
Practice Address - Street 1:102 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-6016
Practice Address - Country:US
Practice Address - Phone:337-366-0461
Practice Address - Fax:337-210-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty