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Organization
COMMUNITY BRIDGES SOUTH, INC.
Active
Organization
COMMUNITY BRIDGES SOUTH, INC.
Active
Parent organization
COMMUNITY BRIDGES SOUTH, INC.
Other names
Jericho Community Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BRIDGES SOUTH, INC.
Authorized official
MATTHEW R PRICE ATC (CEO)
(205) 712-1381
Entity
Organization
Contact information
Practice address
2515 BROWNLEE RD, BOSSIER CITY, LA 71111-2011
(318) 255-9137
Mailing address
PO BOX 715, RUSTON, LA 71273-0715
(318) 255-9137
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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