Organization · Type 2 NPI

Holy Angels Residential Facility

Intellectual Disabilities Intermediate Care Facility · Shreveport, LA

NPI number 1861747636 Active

Practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7712

Call (318) 797-8500 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X6671 (LA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1861747636

Holy Angels Residential Facility's National Provider Identifier is 1861747636, issued on Jul 18, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shreveport, LA. The record was last updated on May 27, 2022.