NPI 1174659098
Southwest Louisiana Independence Center, INC.
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
Case Management Agency
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.