Community Bridges South, Inc. in Ruston - Intermediate Care Facility, Intellectual Disabilities

Community Bridges South, Inc. - NPI 1073649463

Community Bridges South, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Ruston, Louisiana. Community Bridges South, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Bridges South, Inc. is 1073649463. The last update date is 2020-08-22.

Community Bridges South, Inc.'s current location address is Po Box 715, Ruston, Louisiana. You can contact this provider via phone number 3182551937 and fax number 3182558233. The mailing address for Community Bridges South, Inc. is Po Box 715, Ruston, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Bridges South, Inc.
Address Po Box 715, Ruston, Louisiana
Phone Number 3182551937
Fax Number 3182558233
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Reynolds L. Mike
Telephone Number 3182551937

NPI Number Detail

NPI Number 1073649463
Provider Enumeration Date 2007-02-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 715
City Ruston
State Louisiana (LA)
Post Code 712730715
Phone Number 3182551937
Fax Number 3182558233

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 1035
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1710431 LA --

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FAQs about Community Bridges South, Inc.

What is the unique 10-digit identification code assigned to Community Bridges South, Inc. by the Centers for Medicare & Medicaid Services?

The Community Bridges South, Inc. has been issued the NPI (National Provider Identifier) 1073649463, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Community Bridges South, Inc. is physically located?

The Community Bridges South, Inc. is situated at the following address: Po Box 715, Ruston, LA 712730715.

What is the Community Bridges South, Inc.'s area of specialization and corresponding taxonomy classification?

The Community Bridges South, Inc.'s specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

When did Community Bridges South, Inc. receive its 1073649463 assignment?

The Community Bridges South, Inc. was assigned its 1073649463 on 2007-02-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Community Bridges South, Inc. most recently updated or revised?

The information pertaining to Community Bridges South, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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