Shannondale Of Alexandria, Inc. in Alexandria - Nursing Facility/intermediate Care Facility
Shannondale Of Alexandria, Inc. - NPI 1083722193
Shannondale Of Alexandria, Inc. is a Nursing Facility/intermediate Care Facility in Alexandria, Louisiana. Shannondale Of Alexandria, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Shannondale Of Alexandria, Inc. is 1083722193. The last update date is 2008-12-02.
Shannondale Of Alexandria, Inc.'s current location address is 5131 Masonic Dr, Alexandria, Louisiana. You can contact this provider via phone number 3184458343 and fax number 3184458527. The mailing address for Shannondale Of Alexandria, Inc. is 5131 Masonic Dr, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shannondale Of Alexandria, Inc. |
|---|---|
| Address | 5131 Masonic Dr, Alexandria, Louisiana |
| Phone Number | 3184458343 |
| Fax Number | 3184458527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NFA |
|---|---|
| Authorized Official Name | Hathorn R. Michael |
| Telephone Number | 3184458343 |
NPI Number Detail
| NPI Number | 1083722193 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2008-12-02 |
Provider Mailing Address Detail
| Address | 5131 Masonic Dr |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 713013366 |
| Phone Number | 3184458343 |
| Fax Number | 3184458527 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 456 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the Shannondale Of Alexandria, Inc.'s 1083722193?
The Shannondale Of Alexandria, Inc.'s NPI (National Provider Identifier) Number is 1083722193. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shannondale Of Alexandria, Inc.'s facilities are geographically located?
The facilities of Shannondale Of Alexandria, Inc. are physically situated at the following location: 5131 Masonic Dr, Alexandria, LA, 713013366.
What is Shannondale Of Alexandria, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannondale Of Alexandria, Inc. is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did the Shannondale Of Alexandria, Inc. receive its 1083722193 assignment from the Centers for Medicare & Medicaid Services?
The Shannondale Of Alexandria, Inc. was assigned its 1083722193 by the Centers for Medicare & Medicaid Services on 2006-08-28.
When was the information regarding Shannondale Of Alexandria, Inc. most recently updated?
The details pertaining to the Shannondale Of Alexandria, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-12-02.