Organization
G B COOLEY HOSPITAL SERVICE DISTRICT
Active
Other names
G B cooley Services-Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN PITTS (CHIEF EXECUTIVE OFFICER)
(318) 396-6300
Entity
Organization
Contact information
Practice address
364 G B COOLEY ROAD, WEST MONROE, LA 71291-8800
(318) 396-6300
(318) 396-3660
Mailing address
364 G B COOLEY ROAD, WEST MONROE, LA 71291-8800
(318) 396-6300
(318) 396-3660
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715042
—
LA
Enumeration date
03/16/2007
Last updated
08/22/2020
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