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Shannondale Of Alexandria, Inc.
Nursing Facility/Intermediate Care Facility in Alexandria, Louisiana
NPI 1083722193

Shannondale Of Alexandria, Inc. is a Nursing Facility/Intermediate Care Facility based in Alexandria, LA. Shannondale Of Alexandria, Inc. practices in Alexandria, LA. The NPI Number for Shannondale Of Alexandria, Inc. is 1083722193 and holds a License No. 456 (Louisiana).

The current practice location address for Shannondale Of Alexandria, Inc. is 5131 Masonic Dr, Alexandria, LA and can be reached out via phone at 318-445-8343 and via fax at 318-445-8527.

Location: 5131 Masonic Dr, Alexandria, LA, 71301-3366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083722193
Provider Name
Shannondale Of Alexandria, Inc.
Credential
Provider Entity Type
Organization
Address
5131 Masonic Dr, Alexandria, LA, 71301-3366
Phone Number
318-445-8343
Fax Number
318-445-8527
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5131 Masonic Dr
City
Alexandria
State
Louisiana
Zip
71301-3366
Phone Number
318-445-8343
Fax Number
318-445-8527
person
Provider Business Mailing Address Details
Address
5131 Masonic Dr
City
Alexandria
State
Louisiana
Zip
71301-3366
Phone Number
318-445-8343
Fax Number
318-445-8527
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
456 (Louisiana)
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 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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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