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Holy Angels Residential Facility
Intellectual Disabilities Intermediate Care Facility in Shreveport, Louisiana
NPI 1982823654

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 1982823654 and holds a License No. 930 (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.

Location: 10450 Ellerbe Rd, Shreveport, LA, 71106-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982823654
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
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1711225 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, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
930 (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.
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institution
Holy Angels Residential Facility
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NPI 1528287299
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10450 Ellerbe Rd,
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