Southwest Louisiana Independence Center Inc. in Lake Charles - Case Management
Southwest Louisiana Independence Center Inc. - NPI 1144356577
Southwest Louisiana Independence Center Inc. is a Case Management in Lake Charles, Louisiana. Southwest Louisiana Independence Center Inc. practices all healthcare services and medical treatments related to Case Management. The NPI Number for Southwest Louisiana Independence Center Inc. is 1144356577. The last update date is 2023-09-06.
Southwest Louisiana Independence Center Inc.'s current location address is 4320 Lake St., Lake Charles, Louisiana. You can contact this provider via phone number 3374777194 and fax number 3374777194. The mailing address for Southwest Louisiana Independence Center Inc. is 4320 Lake St., Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Louisiana Independence Center Inc. |
|---|---|
| Address | 4320 Lake St., Lake Charles, Louisiana |
| Phone Number | 3374777194 |
| Fax Number | 3374777194 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Dartez Randy |
| Telephone Number | 3372748590 |
NPI Number Detail
| NPI Number | 1144356577 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 4320 Lake St. |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 70605 |
| Phone Number | 3374777194 |
| Fax Number | 3374777194 |
Provider's Primary Taxonomy Detail
| Speciality | Case Management |
|---|---|
| Taxonomy | 251B00000X |
| Licence No | 12803 |
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Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1305880 | LA | -- |
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What is the Southwest Louisiana Independence Center Inc.'s unique identification number?
The Southwest Louisiana Independence Center Inc. has been assigned the NPI (National Provider Identifier) Number 1144356577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Southwest Louisiana Independence Center Inc.?
The Southwest Louisiana Independence Center Inc. is situated at 4320 Lake St., in the city of Lake Charles, state of LA, with the zip code 70605.
What is Southwest Louisiana Independence Center Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southwest Louisiana Independence Center Inc. is Case Management, and the taxonomy code that categorizes this field of expertise is 251B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144356577 to Southwest Louisiana Independence Center Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1144356577 to Southwest Louisiana Independence Center Inc. on 2007-02-27.
As of what date were the details pertaining to Southwest Louisiana Independence Center Inc. last refreshed?
The information related to the Southwest Louisiana Independence Center Inc., including its address, specialty, and other relevant details, was last updated on 2023-09-06.
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