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Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
Sister's Home, Sisters Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LANDRY HORNE CPA (DIRECTOR OF FINANCE)
(318) 797-8500
Entity
Organization
Contact information
Practice address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6671
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6671
DHH STATE LICENSE
LA
Enumeration date
07/18/2012
Last updated
05/27/2022
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