Organization
ALEXANDRIA HEALTHCARE LLC
Active
Other names
The Summit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STALLARD (MANAGING MEMBER)
(601) 956-8884
Entity
Organization
Contact information
Practice address
2200 MEMORIAL DRIVE, ALEXANDRIA, LA 71301
(318) 445-4300
(318) 445-1595
Mailing address
2200 MEMORIAL DRIVE, ALEXANDRIA, LA 71301
(318) 445-4300
(318) 445-2761
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518387
—
LA
Enumeration date
05/18/2006
Last updated
04/23/2013
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