Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
Barry Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LANDRY HORNE (DIRECTOR OF FINANCE)
(318) 797-8500
Entity
Organization
Contact information
Practice address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 798-0159
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 798-0159
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073732749
—
LA
05
—
1164641833
—
LA
05
—
1184843849
—
LA
05
—
1225256035
—
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
—
1861747636
—
LA
05
—
1982823654
—
LA
05
—
1992924658
—
LA
Enumeration date
04/24/2007
Last updated
06/28/2022
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