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Community Bridges West, Inc.
Intellectual Disabilities Intermediate Care Facility in Benton, Louisiana
NPI 1386770162

Community Bridges West, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Ruston, LA. Community Bridges West, Inc. practices in Benton, LA. The NPI Number for Community Bridges West, Inc. is 1386770162 and holds a License No. 897 (Louisiana).

The current practice location address for Community Bridges West, Inc. is 115 Sherwood Dr, Benton, LA and can be reached out via phone at 318-255-9137 and via fax at 318-255-8233.

Location: 115 Sherwood Dr, Benton, LA, 71273-0715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386770162
Provider Name
Community Bridges West, Inc.
Credential
Provider Entity Type
Organization
Address
115 Sherwood Dr, Benton, LA, 71273-0715
Phone Number
318-255-9137
Fax Number
318-255-8233
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1718424 05 LA
institution
Provider Business Practice Location Address Details
Address
115 Sherwood Dr
City
Benton
State
Louisiana
Zip
71006-9701
Phone Number
318-255-9137
Fax Number
318-255-8233
person
Provider Business Mailing Address Details
Address
115 Sherwood Dr
City
Benton
State
Louisiana
Zip
71006-9701
Phone Number
318-255-9137
Fax Number
318-255-8233
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
897 (Louisiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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