Organization
G B COOLEY HOSPITAL FOR RETARDED
Active
Other names
G B Cooley Hospital Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY SANDERLIN CPA (CFO)
(318) 397-6679
Entity
Organization
Contact information
Practice address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 397-6679
(318) 397-9271
Mailing address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 397-6679
(318) 397-9271
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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