Whalio Doctors

NPI 1174659098

Southwest Louisiana Independence Center, INC.

Organisation In Home Supportive Care Agency Lake Charles, LA

Practice location

Address
4320 Lake St., Lake Charles, LA 70605
Phone
(337) 477-7194
Fax
(337) 477-7198

Authorised official

Name
Randy Dartez
Title
Executive Director
Phone
(337) 477-7194

Registered specialties (2)

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

Registry record

NPI
1174659098
Entity type
Organization
NPI issued
26 Feb 2007
Record last updated
6 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.