Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SR. CONCETTA SCIPIONE OLS (ADMINISTRATOR/CEO)
(318) 797-8500
Entity
Organization
Contact information
Practice address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 797-8599
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 797-8599
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
124
LA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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