G B Cooley-Willow Group Home

LBN: G B Cooley-Willow Group Home
G B Cooley-Willow Group Home is an health care organization with primary practice located at 364 Gb Cooley Rd , West Monroe LA 71291-8866. 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-Willow Group Home can be contacted via phone (318) 396-6300, or through Calloway, Ted via phone (318) 396-6300.

Contact Information

Primary practice address
364 Gb Cooley Rd West Monroe LA 71291-8866
Phone: (318) 396-6300
Fax: (318) 396-7663
Website:
Map and Directions
Authorized official contact:
Name: Calloway, Ted
Phone: (318) 396-6300

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 1049 Louisiana

Profile Details

NPI number 1427299767
LBN Legal business name G B Cooley-Willow Group Home
DBA Doing business as
Authorized official Calloway, Ted
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2009
Last updated Nov 15th, 2018 - about 7 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 1427299767 NPPES
Louisiana MEDICAID 1049

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