G B Cooley Services Shannon

NPI 1437281664 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1437281664
Enumeration Date 03/12/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BEN BEN
Position CEO
Phone (318) 396-6300
Fax (318) 396-3660
Practice Location
1591 SHANNON ST
MONROE LA, 71201-4958, US
Phone (318) 396-6300
Fax (318) 396-3660
Business Location
364 GB COOLEY RD
WEST MONROE LA, 71291-8866, US
Phone (318) 396-6300
Fax (318) 396-3660
Toxanomy
Taxonomy Code 320600000X
License State Louisiana
License Number 379
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According to our database, G B Cooley Services Shannon NPI is 1437281664, taxonomy code is 320600000X and license number is 379, license state is located at Louisiana. G B Cooley Services Shannon physically located at 1591 Shannon St, Monroe LA, 71201-4958. NPI Number 1033115704 has the healthcare provider type.

1437281664 NPI number is provided on an as is basis without warranty of any kind. 1437281664 is maintained by the National Plan & Provider Enumeration System. The contents of G B Cooley Services Shannon are for informational purposes only.