Southwest La Developmental Center

NPI #1871783415 in Iota, Louisiana

Provider Information

NPI Number: 1871783415
Entity Type: Organization
Organization Name: Southwest La Developmental Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 30, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 224 GREMILLION CIRCLE
City: Iota
State: Louisiana
ZIP Code: 70543
Phone: (337) 824-6250

Authorized Official

Name: MR. SAMUEL K MCDANIEL
Title: MR/DD REGIONAL ADMINISTRATOR
Phone: (337) 824-6250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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