Organization
COMMUNITY CARE CENTER OF ALEXANDRIA, LLC
Active
Other names
Heritage Manor of Alexandria Rehab & Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
3343 MASONIC DRIVE, ALEXANDRIA, LA 71301-3898
(318) 445-6508
(318) 445-4771
Mailing address
3343 MASONIC DRIVE, ALEXANDRIA, LA 71301-3898
(318) 445-6508
(318) 445-4771
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
763
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521329
—
LA
01
—
30982
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/04/2006
Last updated
06/25/2012
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