Organization · Type 2 NPI
Community Bridges South, Inc.
Intellectual Disabilities Intermediate Care Facility · Simsboro, LA
NPI number
1346376084
Active
Practice location
560 Braswell Lane
Simsboro, LA 71275
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 | 1038 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1346376084
Community Bridges South, Inc.'s National Provider Identifier is 1346376084, issued on Feb 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Simsboro, LA. The record was last updated on Aug 22, 2020.