# COMMUNITY INDEPENDENT LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972706943
- **Authorized official:** MRS. MYRNA GOINGS (DIRECTOR)
- **Authorized official phone:** (985) 795-0096

## Contact information

- **Practice address:** 940 ELLIS ST, FRANKLINTON, LA 70438-1728
- **Practice address phone:** (985) 795-0096
- **Practice address fax:** (985) 839-5114
- **Mailing address:** 940 ELLIS ST, FRANKLINTON, LA 70438-1728
- **Mailing address phone:** (985) 795-0096
- **Mailing address fax:** (985) 839-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | LA | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 07/09/2024
