Provider Demographics
NPI:1063849107
Name:ALEXANDER INN, LLC
Entity Type:Organization
Organization Name:ALEXANDER INN, LLC
Other - Org Name:LAUREL RIDGE SENIOR LIVING RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BABBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-499-0809
Mailing Address - Street 1:110 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANESBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01237-9713
Mailing Address - Country:US
Mailing Address - Phone:413-445-5959
Mailing Address - Fax:
Practice Address - Street 1:33 GEORGE ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6712
Practice Address - Country:US
Practice Address - Phone:413-499-0809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility