Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southwest Louisiana Independence Center Inc

Organization Case Management Agency · NPI 1588790919

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
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4320 Lake St
Lake Charles, LA 70605
Phone: (337) 477-7194
Fax: (337) 477-7198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X (LA)
Case Management Agency Taxonomy 251B00000X · Licence 11089 (LA)

Record details

NPI number1588790919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Dartez — Executive Director · (337) 477-7194
Other names Slic
NPI enumeratedFebruary 27, 2007
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address4320 Lake St., Lake Charles, LA 70605

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