Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
AngelWorks Pre-Vocational Training
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS L HORNE CPA (DIRECTOR OF FINANCE)
(187) 978-5003
Entity
Organization
Contact information
Practice address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 797-0801
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 797-0801
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
82511
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073732749
—
LA
05
—
1164641833
—
LA
05
—
1184843849
—
LA
05
—
1225256038
—
LA
05
—
1316165418
—
LA
05
—
1346469012
—
LA
05
—
1437378106
—
LA
05
—
1497173090
—
LA
05
—
1528287299
—
LA
05
—
1578014387
—
LA
05
—
1619196383
—
LA
05
—
1639345853
—
LA
05
—
1770750747
—
LA
05
—
1861747638
—
LA
05
—
1982823654
—
LA
05
—
1992924658
—
LA
Enumeration date
10/13/2016
Last updated
05/26/2022
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