Organization · Type 2 NPI

Holy Angels Residential Facility

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shreveport, LA

NPI number 1477633014 Active

Practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7712

Call (318) 797-8500 Map

Fax (318) 797-8599

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X124 (LA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1477633014

Holy Angels Residential Facility's National Provider Identifier is 1477633014, issued on Oct 17, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Shreveport, LA. The record was last updated on Aug 22, 2020.