Southwest La Developmental Center in Iota - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Southwest La Developmental Center - NPI 1871783415
Southwest La Developmental Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Iota, Louisiana. Southwest La Developmental Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Southwest La Developmental Center is 1871783415. The last update date is 2007-07-30.
Southwest La Developmental Center's current location address is 224 Gremillion Circle, Iota, Louisiana. You can contact this provider via phone number 3378246250 and fax number 3378219306. The mailing address for Southwest La Developmental Center is 224 Gremillion Circle, Iota, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest La Developmental Center |
|---|---|
| Address | 224 Gremillion Circle, Iota, Louisiana |
| Phone Number | 3378246250 |
| Fax Number | 3378219306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MR/DD REGI |
|---|---|
| Authorized Official Name | Mcdaniel K Samuel |
| Telephone Number | 3378246250 |
NPI Number Detail
| NPI Number | 1871783415 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 224 Gremillion Circle |
|---|---|
| City | Iota |
| State | Louisiana (LA) |
| Post Code | 70543 |
| Phone Number | 3378246250 |
| Fax Number | 3378219306 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 13532 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1102695 | LA | CHILD PLACING FOSTER CARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southwest La Developmental Center by the Centers for Medicare & Medicaid Services?
The Southwest La Developmental Center has been issued the NPI (National Provider Identifier) 1871783415 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Southwest La Developmental Center?
The Southwest La Developmental Center is situated at 224 Gremillion Circle, in the city of Iota, state of LA, with the zip code 70543.
What is Southwest La Developmental Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southwest La Developmental Center is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Southwest La Developmental Center receive the assignment of its 1871783415 from the Centers for Medicare & Medicaid Services?
The Southwest La Developmental Center was issued its 1871783415 by the Centers for Medicare & Medicaid Services on 2007-07-30.
When was the information regarding Southwest La Developmental Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southwest La Developmental Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-30.
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