Community Bridges West, Inc
Community Bridges West, Inc is an Intellectual Disabilities Intermediate Care Facility in Benton, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 Sherwood DrBenton, LA 71006-9701
Phone: (318) 255-9137
Fax: (318) 255-8233
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 897 (LA) |
|---|
Record details
| NPI number | 1386770162 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Reynolds — Ceo · (318) 255-9137 |
| Other names | Grace Home |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 715, Ruston, LA 71273-0715 |
Other providers in Benton
-
Community Bridges South, Inc
115 Sherwood Dr, Benton, LA 71006-9701 · (318) 255-9137