Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
Holy Angels Residential Facility, AngelWorks
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
(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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
82511
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355732
—
LA
Enumeration date
04/01/2014
Last updated
05/27/2022
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