institution
G B Cooley Services South Grand
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Monroe, Louisiana
NPI 1629100862

G B Cooley Services South Grand is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in West Monroe, LA. G B Cooley Services South Grand practices in Monroe, LA. The NPI Number for G B Cooley Services South Grand is 1629100862 and holds a License No. 373 (Louisiana).

The current practice location address for G B Cooley Services South Grand is 2103 S Grand St, Monroe, LA and can be reached out via phone at 318-396-6300 and via fax at 318-396-3660.

Location: 2103 S Grand St, Monroe, LA, 71291-8866
institution
Provider Profile Details
NPI Number
1629100862
Provider Name
G B Cooley Services South Grand
Credential
Provider Entity Type
Organization
Address
2103 S Grand St, Monroe, LA, 71291-8866
Phone Number
318-396-6300
Fax Number
318-396-3660
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1716235 05 LA
institution
Provider Business Practice Location Address Details
Address
2103 S Grand St
City
State
Zip
71202-2521
Phone Number
318-396-6300
Fax Number
318-396-3660
person
Provider Business Mailing Address Details
Address
2103 S Grand St
City
State
Zip
71202-2521
Phone Number
318-396-6300
Fax Number
318-396-3660
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
373 (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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