Organization · Type 2 NPI
Community Bridges South, Inc.
Intellectual Disabilities Intermediate Care Facility · Ruston, LA
NPI number
1386770774
Active
Practice location
155 Woodshire Ln
Ruston, LA 71270-3292
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 | 1039 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1386770774
Community Bridges South, Inc.'s National Provider Identifier is 1386770774, 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.