Organization · Type 2 NPI
Community Bridges South, Inc.
Intellectual Disabilities Intermediate Care Facility · Ruston, LA
NPI number
1073649463
Active
Practice location
1406 Campbell Street
Ruston, LA 71270
Fax (318) 255-8233
Mailing address
PO Box 715
Ruston, LA 71273-0715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 1035 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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- Community Bridges South, Inc.Intellectual Disabilities Intermediate Care Facility Ruston, LA NPI 1437932464
- Community Bridges South, Inc.Intellectual Disabilities Intermediate Care Facility Ruston, LA NPI 1477689867
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- Community Bridges South, Inc.Intellectual Disabilities Intermediate Care Facility Ruston, LA NPI 1679609069
- Community Bridges SouthIntellectual Disabilities Intermediate Care Facility Ruston, LA NPI 1770619876
About NPI 1073649463
Community Bridges South, Inc.'s National Provider Identifier is 1073649463, issued on Feb 27, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ruston, LA. The record was last updated on Aug 22, 2020.