Organization
COMMUNITY BRIDGES SOUTH, INC.
Active
Parent organization
COMMUNITY BRIDGES SOUTH, INC.
Other names
Moriah Community Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BRIDGES SOUTH, INC.
Authorized official
MATTHEW R PRICE (CEO)
(318) 255-9137
Entity
Organization
Contact information
Practice address
1215 S MAPLE ST, RUSTON, LA 71270-5127
(318) 255-9137
Mailing address
PO BOX 715, RUSTON, LA 71273-0715
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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