Provider Demographics
NPI:1386286698
Name:SOUTHWEST CAREGIVERS LLC
Entity type:Organization
Organization Name:SOUTHWEST CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CESTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-884-0669
Mailing Address - Street 1:622 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-1854
Mailing Address - Country:US
Mailing Address - Phone:337-480-0023
Mailing Address - Fax:337-480-0060
Practice Address - Street 1:622 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-1854
Practice Address - Country:US
Practice Address - Phone:337-480-0023
Practice Address - Fax:337-480-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care