Southwest Louisiana Independence Center Inc.

NPI #1144356577 in Lafayette, Louisiana

Provider Information

NPI Number: 1144356577
Entity Type: Organization
Organization Name: Southwest Louisiana Independence Center Inc.
Primary Specialty: In Home Supportive Care
Enumeration Date: Feb 27, 2007
Last Updated: Sep 6, 2023

Practice Location

Address: 216 A LA RUE FRANCE
City: Lafayette
State: Louisiana
ZIP Code: 70508
Phone: (337) 269-0027

Authorized Official

Name: MR. RANDY DARTEZ
Title: EXECUTIVE DIRECTOR
Phone: (337) 274-8590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
In Home Supportive Care	253Z00000X	Primary

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