# ALEXANDRIA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Summit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952354086
- **Authorized official:** MR. DAVID STALLARD (MANAGING MEMBER)
- **Authorized official phone:** (601) 956-8884

## Contact information

- **Practice address:** 2200 MEMORIAL DRIVE, ALEXANDRIA, LA 71301
- **Practice address phone:** (318) 445-4300
- **Practice address fax:** (318) 445-1595
- **Mailing address:** 2200 MEMORIAL DRIVE, ALEXANDRIA, LA 71301
- **Mailing address phone:** (318) 445-4300
- **Mailing address fax:** (318) 445-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 431 | LA | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 04/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518387 | — | LA |
