| NPI | 1023459609 |
|---|---|
| Doing Business As | AGELESS INDEPENDENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN CAILLIER Administrator 337-654-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 15006-B) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |