Southwest Louisiana Independence Center, INC

NPI #1164797627 in Lafayette, Louisiana

Provider Information

NPI Number: 1164797627
Entity Type: Organization
Organization Name: Southwest Louisiana Independence Center, INC
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 16, 2012
Last Updated: Sep 6, 2023

Practice Location

Address: 216A LA RUE FRANCE
City: Lafayette
State: Louisiana
ZIP Code: 70508-3104
Phone: (337) 269-0027

Authorized Official

Name: MR. RANDY DARTEZ
Title: EXECUTIVE DIRECTOR
Phone: (337) 477-7194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
In Home Supportive Care	253Z00000X	Primary

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