Organization
COMMUNITY BRIDGES WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LANE REYNOLDS (CEO)
(318) 255-9137
Entity
Organization
Contact information
Practice address
1201 ATKINS RD, RUSTON, LA 71270-8717
(318) 255-9137
(318) 255-8233
Mailing address
PO BOX 715, RUSTON, LA 71273-0715
(318) 255-9137
(318) 255-8233
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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