G B Cooley Services Prairie Road in West Monroe - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
G B Cooley Services Prairie Road - NPI 1023140241
G B Cooley Services Prairie Road is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in West Monroe, Louisiana. G B Cooley Services Prairie Road practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for G B Cooley Services Prairie Road is 1023140241. The last update date is 2020-08-22.
G B Cooley Services Prairie Road's current location address is 364 Gb Cooley Rd, West Monroe, Louisiana. You can contact this provider via phone number 3183966300 and fax number 3183963660. The mailing address for G B Cooley Services Prairie Road is 364 Gb Cooley Rd, West Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | G B Cooley Services Prairie Road |
|---|---|
| Address | 364 Gb Cooley Rd, West Monroe, Louisiana |
| Phone Number | 3183966300 |
| Fax Number | 3183963660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pitts Ben |
| Telephone Number | 3183966300 |
NPI Number Detail
| NPI Number | 1023140241 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 364 Gb Cooley Rd |
|---|---|
| City | West Monroe |
| State | Louisiana (LA) |
| Post Code | 712918866 |
| Phone Number | 3183966300 |
| Fax Number | 3183963660 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 671 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1719391 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to G B Cooley Services Prairie Road?
The G B Cooley Services Prairie Road has been issued the NPI (National Provider Identifier) 1023140241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where G B Cooley Services Prairie Road is located?
The G B Cooley Services Prairie Road is situated at the following address: 364 Gb Cooley Rd, West Monroe, LA, 712918866.
What is the area of specialization for G B Cooley Services Prairie Road, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for G B Cooley Services Prairie Road is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023140241 to G B Cooley Services Prairie Road?
The G B Cooley Services Prairie Road received its 1023140241 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information pertaining to G B Cooley Services Prairie Road most recently updated or revised?
The details related to G B Cooley Services Prairie Road, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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