Provider Demographics
NPI:1386283299
Name:ALLEGIANCE REHABILITATION CENTER INC
Entity type:Organization
Organization Name:ALLEGIANCE REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-487-8001
Mailing Address - Street 1:1427 FRANKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SIDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15955-4611
Mailing Address - Country:US
Mailing Address - Phone:814-487-8001
Mailing Address - Fax:814-487-8013
Practice Address - Street 1:1427 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:SIDMAN
Practice Address - State:PA
Practice Address - Zip Code:15955-4611
Practice Address - Country:US
Practice Address - Phone:814-487-8001
Practice Address - Fax:814-487-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility