NPI 1336380674

G B Cooley-Live Oak Group Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility West Monroe, LA

Practice location

Address: 364 Gb Cooley Rd, West Monroe, LA 71291-8866
Phone: (318) 396-6300
Fax: (318) 396-7663

Authorised official

Name: Jimmy Sanderlin
Title: Director of Finance
Phone: (318) 396-6300

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1047 (LA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1336380674
Entity type: Organization
NPI issued: 17 Mar 2009
Record last updated: 17 Mar 2009

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.