Southwest Louisiana Independence Center Inc. in Lake Charles - Case Management
Southwest Louisiana Independence Center Inc. - NPI 1861688525
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 1861688525. 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 3374777198. 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 | 3374777198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Dartez Randy |
| Telephone Number | 3374777194 |
NPI Number Detail
| NPI Number | 1861688525 |
|---|---|
| Provider Enumeration Date | 2007-09-17 |
| 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 | 3374777198 |
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 |
|---|---|---|---|
| 1020877 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southwest Louisiana Independence Center Inc.?
The Southwest Louisiana Independence Center Inc. has been issued the NPI (National Provider Identifier) 1861688525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Southwest Louisiana Independence Center Inc. is located?
The Southwest Louisiana Independence Center Inc. is situated at the following address: 4320 Lake St., Lake Charles, LA, 70605.
What is the Southwest Louisiana Independence Center Inc.'s specialty and taxonomy code?
The Southwest Louisiana Independence Center Inc.'s specialty is Case Management, and the corresponding taxonomy code is 251B00000X.
On what date did the Southwest Louisiana Independence Center Inc. receive the assignment of its 1861688525 from the Centers for Medicare & Medicaid Services?
The Southwest Louisiana Independence Center Inc. was issued its 1861688525 by the Centers for Medicare & Medicaid Services on 2007-09-17.
When was the information pertaining to Southwest Louisiana Independence Center Inc. most recently updated or revised?
The details related to Southwest Louisiana Independence Center Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-09-06.