Organization · Type 2 NPI

Shannondale of Alexandria, Inc.

Nursing Facility/Intermediate Care Facility · Alexandria, LA

NPI number 1083722193 Active

Practice location

5131 Masonic Dr
Alexandria, LA 71301-3366

Fax (318) 445-8527

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X456 (LA)

Nursing Facility/Intermediate Care Facility: 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1083722193

Shannondale of Alexandria, Inc.'s National Provider Identifier is 1083722193, issued on Aug 28, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Alexandria, LA. The record was last updated on Dec 2, 2008.