institution
G B Cooley Moore Rd
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Monroe, Louisiana
NPI 1528182714

G B Cooley Moore Rd is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in West Monroe, LA. G B Cooley Moore Rd practices in Monroe, LA. The NPI Number for G B Cooley Moore Rd is 1528182714 and holds a License No. 657 (Louisiana).

The current practice location address for G B Cooley Moore Rd is 612 Moore Rd, Monroe, LA and can be reached out via phone at 318-396-6300 and via fax at 318-397-9271.

Location: 612 Moore Rd, Monroe, LA, 71291-8800
institution
Provider Profile Details
NPI Number
1528182714
Provider Name
G B Cooley Moore Rd
Credential
Provider Entity Type
Organization
Address
612 Moore Rd, Monroe, LA, 71291-8800
Phone Number
318-396-6300
Fax Number
318-397-9271
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1719072 05 LA
institution
Provider Business Practice Location Address Details
Address
612 Moore Rd
City
State
Zip
71202-7447
Phone Number
318-396-6300
Fax Number
318-397-9271
person
Provider Business Mailing Address Details
Address
612 Moore Rd
City
State
Zip
71202-7447
Phone Number
318-396-6300
Fax Number
318-397-9271
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
657 (Louisiana)
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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