Provider Demographics
NPI:1831379478
Name:ALLEGIANCE GROUP, INC.
Entity type:Organization
Organization Name:ALLEGIANCE GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENEEN
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-615-1974
Mailing Address - Street 1:101 E HOLLY AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-5402
Mailing Address - Country:US
Mailing Address - Phone:703-615-1974
Mailing Address - Fax:
Practice Address - Street 1:101 E HOLLY AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-5402
Practice Address - Country:US
Practice Address - Phone:703-615-1974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAB512357251E00000X
VAB606239332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health