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NPI Code Detail

MEDICARE: SCLANDA TEZENO

MEDICARE: SCLANDA TEZENO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1255137071
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCLANDA TEZENO
Provider Business Mailing Address
First Line : 1562 W MAIN ST
Second Line :
City : VILLE PLATTE
State : LA
Zip : 70586-2824
Country : US
Telephone Number : 337-831-8171
Fax Number :
Provider Business Practice Location Address
First Line : 1639 RYAN ST STE 100
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-5948
Country : US
Telephone Number : 337-831-8171
Fax Number : 337-363-8527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2025
Last Update Date : 05/18/2026

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Directions to “ SCLANDA TEZENO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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