institution
Holy Angels Residential Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shreveport, Louisiana
NPI 1639345853

Holy Angels Residential Facility is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Shreveport, LA. Holy Angels Residential Facility practices in Shreveport, LA. The NPI Number for Holy Angels Residential Facility is 1639345853 and holds a License No. (Louisiana).

The current practice location address for Holy Angels Residential Facility is 10450 Ellerbe Rd, Shreveport, LA and can be reached out via phone at 318-797-8500 and via fax at 318-798-0159. You can also correspond with Holy Angels Residential Facility through the mailing address at 10450 ELLERBE RD, SHREVEPORT, LA - 71106-7712 (mailing address contact number: 318-797-8500).

Location: 10450 Ellerbe Rd, Shreveport, LA, 71106-7712
institution
Provider Profile Details
NPI Number
1639345853
Provider Name
Holy Angels Residential Facility
Credential
Provider Entity Type
Organization
Address
10450 Ellerbe Rd, Shreveport, LA, 71106-7712
Phone Number
318-797-8500
Fax Number
318-798-0159
Provider Enumeration Date
05/07/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1167045 05 LA
institution
Provider Business Practice Location Address Details
Address
10450 Ellerbe Rd
City
State
Zip
71106-7712
Phone Number
318-797-8500
Fax Number
318-798-0159
person
Provider Business Mailing Address Details
Address
10450 Ellerbe Rd
City
State
Zip
71106-7712
Phone Number
318-797-8500
Fax Number
318-798-0159
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
1034 (Louisiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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