G B Cooley Services Sue Drive in West Monroe - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
G B Cooley Services Sue Drive - NPI 1033241286
G B Cooley Services Sue Drive is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in West Monroe, Louisiana. G B Cooley Services Sue Drive 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 Sue Drive is 1033241286. The last update date is 2020-08-22.
G B Cooley Services Sue Drive'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 Sue Drive 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 Sue Drive |
|---|---|
| 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 | 1033241286 |
|---|---|
| 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 | 539 |
|
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 |
|---|---|---|---|
| 1717843 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to G B Cooley Services Sue Drive by the Centers for Medicare & Medicaid Services?
The G B Cooley Services Sue Drive has been assigned the NPI (National Provider Identifier) 1033241286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the G B Cooley Services Sue Drive located?
The G B Cooley Services Sue Drive is located at 364 Gb Cooley Rd, West Monroe, LA 712918866.
What is G B Cooley Services Sue Drive's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for G B Cooley Services Sue Drive is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the G B Cooley Services Sue Drive receive its 1033241286 assignment from the Centers for Medicare & Medicaid Services?
The G B Cooley Services Sue Drive was assigned its 1033241286 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information related to G B Cooley Services Sue Drive most recently updated or refreshed?
The details pertaining to the G B Cooley Services Sue Drive, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.