Organization Name: | ALLSTATE HEALTH SERVICES |
NPI Number: | 1083872014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STELLA U HAIRSTON (CEO) |
Mailing Address: | 4506 Vaughan Dr Rowlett |
State: | TX US |
Postal Code: | 750887503 |
Phone Number: | 9724753358 |
Fax Number: | 9724753385 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 0084934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |