G B Cooley Services Prairie Road

LBN: G B Cooley Services Prairie Road
G B Cooley Services Prairie Road is an health care organization with primary practice located at 2043 Prairie Rd , Monroe LA 71202-8174. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. G B Cooley Services Prairie Road can be contacted via phone (318) 396-6300, or through Pitts, Ben via phone (318) 396-6300.

Contact Information

Primary practice address
2043 Prairie Rd Monroe LA 71202-8174
Phone: (318) 396-6300
Fax: (318) 396-3660
Website:
Map and Directions
Authorized official contact:
Name: Pitts, Ben
Phone: (318) 396-6300

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 671 Louisiana

Profile Details

NPI number 1023140241
LBN Legal business name G B Cooley Services Prairie Road
DBA Doing business as
Authorized official Pitts, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023140241 NPPES
Louisiana MEDICAID 1719391

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