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1720392715
AGELESS INDEPENDENCE CENTER CORP
LAFAYETTE, LA
NPI
1720392715
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Entity Type
Organization
Authorized Contact
GWENDOLYN CAILLIER
Director
337-654-5519
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
AGELESS INDEPENDENCE CENTER CORP
1011 SURREY ST
LAFAYETTE, LA 70501-6142
Phone number: 337-654-5519
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Mailing Address
AGELESS INDEPENDENCE CENTER CORP
500 SURREY ST
LAFAYETTE, LA 70501-6134
Phone number: 337-654-5519
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