Community Bridges West, INC.
In Home Supportive Care in Ruston, LA. Organization (NPI-2).
NPI number1326288002
StatusActive
Last updated in NPPESFeb 20, 2009
Details
- NPI
- 1326288002
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Bridges West, INC.
- Organization subpart
- No
- Enumeration date
- Feb 20, 2009
- Last updated
- Feb 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1201 Atkins RdRuston, LA 71270-8717
Phone 318-255-9137 · Fax 318-255-8233
Mailing address
Po Box 715Ruston, LA 71273-0715
Phone 318-255-9137 · Fax 318-255-8233
Authorized official
Michael Lane Reynolds
Ceo
3182559137
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