SHANNONDALE OF ALEXANDRIA, INC. is a nursing facility intermediate care facility in Alexandria, LA. The provider is 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. SHANNONDALE OF ALEXANDRIA, INC. NPI is 1083722193. The provider is registered as an organization entity type.
The provider Is Doing Business As Regency House.
The provider's business location address is:
5131 MASONIC DR
ALEXANDRIA, LA
ZIP 71301-366
Phone: (318) 445-8343
Fax: (318) 445-8527
The provider's authorized official is Michael R. Hathorn .
The authorized official title is Nfa and has the following contact phone number (318) 445-8343.
The CLIA number assigned to this NPI record is 19D0675524 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/28/2006 and was last updated on 12/2/2008.