G B Cooley Supervised Ind Liv in West Monroe - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
G B Cooley Supervised Ind Liv - NPI 1285807255
G B Cooley Supervised Ind Liv is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in West Monroe, Louisiana. G B Cooley Supervised Ind Liv practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for G B Cooley Supervised Ind Liv is 1285807255. The last update date is 2008-04-10.
G B Cooley Supervised Ind Liv'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 Supervised Ind Liv is 364 Gb Cooley Rd, West Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | G B Cooley Supervised Ind Liv |
|---|---|
| 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 L James |
| Credentials | CPA |
| Telephone Number | 3183966300 |
NPI Number Detail
| NPI Number | 1285807255 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2008-04-10 |
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 | SIL6939 |
|
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 |
|---|---|---|---|
| 1924342 | LA | -- |
Post Comment/ Review Below
What is the G B Cooley Supervised Ind Liv's 1285807255?
The G B Cooley Supervised Ind Liv's NPI (National Provider Identifier) Number is 1285807255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the G B Cooley Supervised Ind Liv's physical address?
The G B Cooley Supervised Ind Liv 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 Supervised Ind Liv's specialized field of practice, and what is the corresponding taxonomy classification code?
The G B Cooley Supervised Ind Liv's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285807255 to G B Cooley Supervised Ind Liv?
The Centers for Medicare & Medicaid Services originally issued the 1285807255 to G B Cooley Supervised Ind Liv on 2008-04-10.
When was the information regarding G B Cooley Supervised Ind Liv, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to G B Cooley Supervised Ind Liv, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-10.
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