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Community Bridges West, INC.

In Home Supportive Care in Ruston, LA. Organization (NPI-2).

NPI number1467692137
StatusActive
Last updated in NPPESFeb 20, 2009

Details

NPI
1467692137
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 codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

1201 Atkins Rd
Ruston, LA 71270-8717

Phone 318-255-9137 · Fax 318-255-8233

Mailing address

Po Box 715
Ruston, LA 71273-0715

Phone 318-255-9137 · Fax 318-255-8233

Authorized official

Michael Lane Reynolds
Ceo
3182559137

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