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Southwest La Developmental Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iota, Louisiana
NPI 1871783415

Southwest La Developmental Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Iota, LA. Southwest La Developmental Center practices in Iota, LA. The NPI Number for Southwest La Developmental Center is 1871783415 and holds a License No. 13532 (Louisiana).

The current practice location address for Southwest La Developmental Center is 224 Gremillion Circle, Iota, LA and can be reached out via phone at 337-824-6250 and via fax at 337-821-9306.

Location: 224 Gremillion Circle, Iota, LA, 70543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871783415
Provider Name
Southwest La Developmental Center
Credential
Provider Entity Type
Organization
Address
224 Gremillion Circle, Iota, LA, 70543
Phone Number
337-824-6250
Fax Number
337-821-9306
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102695 01 LA CHILD PLACING FOSTER CARE
institution
Provider Business Practice Location Address Details
Address
224 Gremillion Circle
City
Iota
State
Louisiana
Zip
70543
Phone Number
337-824-6250
Fax Number
337-821-9306
person
Provider Business Mailing Address Details
Address
224 Gremillion Circle
City
Iota
State
Louisiana
Zip
70543
Phone Number
337-824-6250
Fax Number
337-821-9306
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
13532 (Louisiana)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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