HOLY ANGELS RESIDENTIAL FACILITY NPI 1619196383

NPI Information

HOLY ANGELS RESIDENTIAL FACILITY is an intermediate care facility mentally retarded in Shreveport, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOLY ANGELS RESIDENTIAL FACILITY NPI is 1619196383. The provider is registered as an organization entity type.
The provider Is Doing Business As Scottwood I.

The provider's business location address is:

10450 ELLERBE RD
SHREVEPORT, LA
ZIP 71106-712
Phone: (318) 797-8500
Fax: (318) 798-0159

The provider's authorized official is Christina Landry Horne .
The authorized official title is Director Of Finance and has the following contact phone number (318) 797-8500.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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