Community Bridges South, Inc.

NPI 1073649463 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1073649463
Enumeration Date 02/27/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Position CEO
Phone (318) 255-1937
Fax (318) 255-8233
Practice Location
RUSTON LA, 71270, US
Phone (318) 255-1937
Fax (318) 255-8233
Business Location
PO BOX 715
RUSTON LA, 71273-0715, US
Phone (318) 255-1937
Fax (318) 255-8233
Taxonomy Code 315P00000X
License State Louisiana
License Number 1035
Remove 1073649463 NPI Number

According to our database, Community Bridges South, Inc. NPI is 1073649463, taxonomy code is 315P00000X and license number is 1035, license state is located at Louisiana. Community Bridges South, Inc. physically located at 1406 Campbell Street, Ruston LA, 71270. NPI Number 1033115704 has the healthcare provider type.

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1073649463 NPI number is provided on an as is basis without warranty of any kind. 1073649463 is maintained by the National Plan & Provider Enumeration System. The contents of Community Bridges South, Inc. are for informational purposes only.