NPI 1871783415

Southwest La Developmental Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Iota, LA

Practice location

Address: 224 Gremillion Circle, Iota, LA 70543
Phone: (337) 824-6250
Fax: (337) 821-9306

Authorised official

Name: Samuel K McDaniel
Title: Mr/Dd Regional Administrator
Phone: (337) 824-6250

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 13532 (LA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1871783415
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 30 Jul 2007

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.