Organization · Type 2 NPI
G B Cooley Services South Grand
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Monroe, LA
Practice location
2103 S Grand St
Monroe, LA 71202-2521
Fax (318) 396-3660
Mailing address
364 Gb Cooley Rd
West Monroe, LA 71291-8866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 373 (LA) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1629100862
G B Cooley Services South Grand's National Provider Identifier is 1629100862, issued on Mar 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Monroe, LA. The record was last updated on Aug 22, 2020.