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Organization
G. B. COOLEY HOSPITAL SERVICE DISTRICT
Active
Organization
G. B. COOLEY HOSPITAL SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY SANDERLIN (DIRECTOR OF ACCOUNTING)
(318) 396-6300
Entity
Organization
Contact information
Practice address
364 GB COOLEY RD, WEST MONROE, LA 71291-8866
(318) 396-6300
(318) 396-7663
Mailing address
364 GB COOLEY RD, WEST MONROE, LA 71291-8866
(318) 396-6300
(318) 396-7663
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921629
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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