Organization · Type 2 NPI

Holy Angels Residential Facility

Intellectual Disabilities Intermediate Care Facility · Shreveport, LA

NPI number 1992924658 Active

Practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7712

Fax (318) 798-0159

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1992924658

Holy Angels Residential Facility's National Provider Identifier is 1992924658, issued on Apr 24, 2007. 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 Jun 13, 2022.