G B Cooley Services Shannon

LBN: G B Cooley Services Shannon
G B Cooley Services Shannon is an health care organization with primary practice located at 1591 Shannon St , Monroe LA 71201-4958. 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 Shannon can be contacted via phone (318) 396-6300, or through Pitts, Ben via phone (318) 396-6300.

Contact Information

Primary practice address
1591 Shannon St Monroe LA 71201-4958
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 379 Louisiana

Profile Details

NPI number 1437281664
LBN Legal business name G B Cooley Services Shannon
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 1437281664 NPPES
Louisiana MEDICAID 1716375

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