G B Cooley Services Walnut

LBN: G B Cooley Services Walnut
G B Cooley Services Walnut is an health care organization with primary practice located at 113 Arkansas Ave , Monroe LA 71201-6205. 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 Walnut can be contacted via phone (318) 396-6300, or through Pitts, Ben via phone (318) 396-6300.

Contact Information

Primary practice address
113 Arkansas Ave Monroe LA 71201-6205
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 377 Louisiana

Profile Details

NPI number 1639202617
LBN Legal business name G B Cooley Services Walnut
DBA Doing business as
Authorized official Pitts, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1639202617 NPPES
Louisiana MEDICAID 1716227

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