Provider Demographics
NPI:1265141345
Name:BECAUSE WE CARE SOUTHWEST LOUISIANA FOUNDATION
Entity type:Organization
Organization Name:BECAUSE WE CARE SOUTHWEST LOUISIANA FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-501-0377
Mailing Address - Street 1:100 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-5056
Mailing Address - Country:US
Mailing Address - Phone:337-436-3838
Mailing Address - Fax:
Practice Address - Street 1:4029 AVENUE G
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615-5175
Practice Address - Country:US
Practice Address - Phone:713-501-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services