NPI 1154876837

G B Cooley Hospital for Retarded

Organisation Nursing Facility/Intermediate Care Facility Monroe, LA

Practice location

Address: 211 N 3rd St, Monroe, LA 71201-6731
Phone: (318) 397-6679
Fax: (318) 397-9271

Authorised official

Name: Jimmy Sanderlin
Title: Cfo
Phone: (318) 397-6679

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Other Nursing Facility/Intermediate Care Facility providers in Louisiana →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Registry record

NPI: 1154876837
Entity type: Organization
NPI issued: 23 Aug 2016
Record last updated: 23 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.