G B Cooley Services South Grand in West Monroe - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
G B Cooley Services South Grand - NPI 1629100862
G B Cooley Services South Grand is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in West Monroe, Louisiana. G B Cooley Services South Grand 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 South Grand is 1629100862. The last update date is 2020-08-22.
G B Cooley Services South Grand'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 South Grand 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 South Grand |
|---|---|
| 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 | 1629100862 |
|---|---|
| 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 | 373 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1716235 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to G B Cooley Services South Grand by the Centers for Medicare & Medicaid Services (CMS)?
The G B Cooley Services South Grand has been assigned the NPI (National Provider Identifier) 1629100862. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the G B Cooley Services South Grand's physical address?
The G B Cooley Services South Grand is physically located at 364 Gb Cooley Rd, in the city of West Monroe, LA, with the postal code 712918866.
What is G B Cooley Services South Grand's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The G B Cooley Services South Grand's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629100862 to G B Cooley Services South Grand?
The Centers for Medicare & Medicaid Services assigned the 1629100862 to G B Cooley Services South Grand on 2007-03-12.
When was the information related to G B Cooley Services South Grand most recently updated or refreshed?
The details pertaining to the G B Cooley Services South Grand, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.