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 --

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FAQs about G B Cooley Services/Day Habilitation

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.

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