Organization
SOUTHWEST LOUISIANA INDEPENDENCE CENTER INC
Active
Other names
@SLIC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DARTEZ (EXECUTIVE DIRECTOR)
(337) 477-7194
Entity
Organization
Contact information
Practice address
4320 LAKE ST, LAKE CHARLES, LA 70605-4310
(337) 477-7194
(337) 477-7198
Mailing address
4320 LAKE ST., LAKE CHARLES, LA 70605
(337) 477-7194
(337) 477-7198
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
11256
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023183
—
LA
Enumeration date
09/17/2007
Last updated
09/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us