Organization
HOLY ANGELS RESIDENTIAL FACILITY
Active
Other names
Sister's Home, Sisters Home
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
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7712
(318) 797-8500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6671
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6671
DHH STATE LICENSE
LA
Enumeration date
07/18/2012
Last updated
05/27/2022
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