Southwest Louisiana Independence Center, Inc
Southwest Louisiana Independence Center, Inc is a Case Management Agency in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4320 Lake StLake Charles, LA 70605-4310
Phone: (337) 477-7194
Fax: (337) 477-7198
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X · Licence SIL20006 (LA) |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
Record details
| NPI number | 1578742672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Dartez — Executive Director · (337) 477-7194 |
| Other names | Slic |
| NPI enumerated | October 25, 2007 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
| Mailing address | 4320 Lake St., Lake Charles, LA 70605 |
Other providers in Lake Charles
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Southwest Louisiana Independence Center Inc
4320 Lake St, Lake Charles, LA 70605 · (337) 477-7194
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Southwest Louisiana Independence Center, Inc
4320 Lake St, Lake Charles, LA 70605 · (337) 477-7194
-
Southwest Louisiana Independence Center, Inc
4320 Lake St, Lake Charles, LA 70605-4310 · (337) 477-7194
-
Southwest Louisiana Independence Center, Inc
4320 Lake St, Lake Charles, LA 70605 · (337) 477-7194