Southwest Louisiana Independence Center, Inc

LBN: Southwest Louisiana Independence Center, Inc
Southwest Louisiana Independence Center, Inc is an health care organization with primary practice located at 4320 Lake St , Lake Charles LA 70605-4310. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Southwest Louisiana Independence Center, Inc can be contacted via phone (337) 477-7194, or through Dartez, Randy via phone (337) 477-7194.

Contact Information

Primary practice address
4320 Lake St Lake Charles LA 70605-4310
Phone: (337) 477-7194
Fax: (337) 477-7198
Website:
Map and Directions
Authorized official contact:
Name: Dartez, Randy
Phone: (337) 477-7194

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 15431 Louisiana
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1437424991
LBN Legal business name Southwest Louisiana Independence Center, Inc
DBA Doing business as
Authorized official Dartez, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2012
Last updated Sep 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437424991 NPPES
Louisiana MEDICAID 2164686

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