G B Cooley Services/Day Habilitation in West Monroe - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
G B Cooley Services/Day Habilitation - NPI 1104090752
G B Cooley Services/Day Habilitation is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in West Monroe, Louisiana. G B Cooley Services/Day Habilitation 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/Day Habilitation is 1104090752. The last update date is 2008-04-15.
G B Cooley Services/Day Habilitation's current location address is 364 Gb Cooley Rd, West Monroe, Louisiana. You can contact this provider via phone number 3183966300 and fax number 3183967663. The mailing address for G B Cooley Services/Day Habilitation 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/Day Habilitation |
---|---|
Address | 364 Gb Cooley Rd, West Monroe, Louisiana |
Phone Number | 3183966300 |
Fax Number | 3183967663 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
---|---|
Authorized Official Name | Sanderlin Jimmy |
Credentials | CPA |
Telephone Number | 3183966300 |
NPI Number Detail
NPI Number | 1104090752 |
---|---|
Provider Enumeration Date | 2008-04-15 |
Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
Address | 364 Gb Cooley Rd |
---|---|
City | West Monroe |
State | Louisiana (LA) |
Post Code | 712918866 |
Phone Number | 3183966300 |
Fax Number | 3183967663 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
---|---|
Taxonomy | 320600000X |
Licence No | ADC 9827 |
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 |
---|---|---|---|
1957437 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to G B Cooley Services/Day Habilitation?
The G B Cooley Services/Day Habilitation has been issued the NPI (National Provider Identifier) 1104090752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where G B Cooley Services/Day Habilitation is physically located?
The G B Cooley Services/Day Habilitation is physically situated at the following address: 364 Gb Cooley Rd, West Monroe, LA, 712918866.
What is the G B Cooley Services/Day Habilitation's specialty and taxonomy code?
The G B Cooley Services/Day Habilitation's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
When did the G B Cooley Services/Day Habilitation receive its 1104090752?
The G B Cooley Services/Day Habilitation was issued its 1104090752 on 2008-04-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding G B Cooley Services/Day Habilitation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to G B Cooley Services/Day Habilitation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-15.