Organization
G B COOLEY SERVICES/PRE VOC DAY HABILT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY L SANDERLIN CPA (DIRECTOR OF FINANCE)
(318) 396-6300
Entity
Organization
Contact information
Practice address
364 GB COOLEY RD, WEST MONROE, LA 71291-8866
(318) 396-6300
(318) 397-9271
Mailing address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 396-3000
(318) 397-9271
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ADC9827
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957429
—
LA
Enumeration date
05/27/2008
Last updated
11/09/2018
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