Holy Angels Residential Facility
NPI #1477633014 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1477633014
- Entity Type
- Organization
- Organization Name
- Holy Angels Residential Facility
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10450 ELLERBE RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-7712
- Phone
- (318) 797-8500
Authorized Official
- Name
- SR. CONCETTA SCIPIONE, OLS
- Title
- ADMINISTRATOR/CEO
- Phone
- (318) 797-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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