Provider Demographics
NPI:1215641634
Name:ALLEGIANCE HEALTH CARE INC
Entity type:Organization
Organization Name:ALLEGIANCE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUFUSHI
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
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:MONTCLAIR
Practice Address - State:VA
Practice Address - Zip Code:22025-2111
Practice Address - Country:US
Practice Address - Phone:703-232-5239
Practice Address - Fax:703-665-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health