NPI 1053119636
Shelby House LLC
Practice location
- Address
- 1516 Elizabeth St, West Monroe, LA 71291-7108
- Phone
- (318) 380-2486
- Mailing address
- 209 Pine Grove Cir, West Monroe, LA 71291-7736
Authorised official
- Name
- Jennifer Anne Mazzanti
- Title
- Owner
- Phone
- (318) 380-2486
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1053119636
- Entity type
- Organization
- NPI issued
- 7 Mar 2025
- Record last updated
- 7 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.