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Holy Angels Residential Facility
Intellectual Disabilities Intermediate Care Facility in Shreveport, Louisiana
NPI 1770750747

Holy Angels Residential Facility is a Intellectual Disabilities Intermediate Care Facility based in Shreveport, LA. Holy Angels Residential Facility practices in Shreveport, LA. The NPI Number for Holy Angels Residential Facility is 1770750747 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: ).

Location: 10450 Ellerbe Rd, Shreveport, LA, 71106-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770750747
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
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225256035 05 LA
1992924658 05 LA
1316165418 05 LA
1578014387 05 LA
1639345853 05 LA
1073732749 05 LA
1164641833 05 LA
1346469012 05 LA
1437378106 05 LA
1770750747 05 LA
1982823654 05 LA
1619196383 05 LA
1184843849 05 LA
1497173090 05 LA
1528287299 05 LA
1861747636 05 LA
institution
Provider Business Practice Location Address Details
Address
10450 Ellerbe Rd
City
Shreveport
State
Louisiana
Zip
71106-7712
Phone Number
318-797-8500
Fax Number
318-798-0159
person
Provider Business Mailing Address Details
Address
10450 Ellerbe Rd
City
Shreveport
State
Louisiana
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
315P00000X
License No.
()
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.
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