HOLY ANGELS RESIDENTIAL FACILITY
Intermediate Care Facility, Mental Illness
Shreveport, Louisiana
Provider NPI: 1225256035
Organization Information:Organization Name: HOLY ANGELS RESIDENTIAL FACILITY
Practice Location:
10450 ELLERBE RD SHREVEPORT, LA 71106 US
Tel: 318-797-8500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
10450 ELLERBE RD SHREVEPORT, LA 71106 US
Tel: 318-797-8500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | LA | 914 |