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Community Bridges South
Intellectual Disabilities Intermediate Care Facility in Ruston, Louisiana
NPI 1770619876

Community Bridges South is a Intellectual Disabilities Intermediate Care Facility based in Ruston, LA. Community Bridges South practices in Ruston, LA. The NPI Number for Community Bridges South is 1770619876 and holds a License No. 1010 (Louisiana).

The current practice location address for Community Bridges South is 1400 Benton St, Ruston, LA and can be reached out via phone at 318-255-1937 and via fax at 318-255-8233.

Location: 1400 Benton St, Ruston, LA, 71273-0715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770619876
Provider Name
Community Bridges South
Credential
Provider Entity Type
Organization
Address
1400 Benton St, Ruston, LA, 71273-0715
Phone Number
318-255-1937
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
1710008 05 LA
institution
Provider Business Practice Location Address Details
Address
1400 Benton St
City
Ruston
State
Louisiana
Zip
71270-5404
Phone Number
318-255-1937
Fax Number
318-255-8233
person
Provider Business Mailing Address Details
Address
1400 Benton St
City
Ruston
State
Louisiana
Zip
71270-5404
Phone Number
318-255-1937
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.
1010 (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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