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Organization
SHANNONDALE OF ALEXANDRIA, INC.
Active
Organization
SHANNONDALE OF ALEXANDRIA, INC.
Active
Other names
REGENCY HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. HATHORN (NFA)
(318) 445-8343
Entity
Organization
Contact information
Practice address
5131 MASONIC DR, ALEXANDRIA, LA 71301-3366
(318) 445-8343
(318) 445-8527
Mailing address
5131 MASONIC DR, ALEXANDRIA, LA 71301-3366
(318) 445-8343
(318) 445-8527
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
456
LA
Other
Enumeration date
08/28/2006
Last updated
12/02/2008
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