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

Community Bridges South, Inc. - NPI 1396871786

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 1396871786. 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 1396871786
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 1412
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1710318 LA --

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FAQs about Community Bridges South, Inc.

What is the unique provider identifier assigned to Community Bridges South, Inc.?

The Community Bridges South, Inc. has been issued the NPI (National Provider Identifier) 1396871786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

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

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

What is Community Bridges South, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Community Bridges South, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396871786 to Community Bridges South, Inc.?

The Community Bridges South, Inc. received its 1396871786 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.

When was the information regarding Community Bridges South, Inc. most recently updated?

The details pertaining to the Community Bridges South, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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