Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
Holy Angels Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. 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) 797-0801
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
(318) 797-0801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2431641
—
LA
Enumeration date
10/17/2016
Last updated
05/27/2022
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