Organization · Type 2 NPI

Southwest la Developmental Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Iota, LA

NPI number 1871783415 Active

Practice location

224 Gremillion Circle
Iota, LA 70543

Call (337) 824-6250 Map

Fax (337) 821-9306

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X13532 (LA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1871783415

Southwest la Developmental Center's National Provider Identifier is 1871783415, issued on Jul 30, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Iota, LA. The record was last updated on Jul 30, 2007.