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Community Bridges South, Inc. — NPI 1114600749, Bossier City, LA | NPI Central

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NPI 1114600749

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Community Bridges South, Inc.

NPI 1114600749 · Intellectual Disabilities Intermediate Care Facility · Bossier City, LA

Provider details

NPI number: 1114600749
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Parent organization: Community Bridges South, Inc.
Organization subpart: Yes
Authorized official: Matthew Price, Ceo(205) 712-1381

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

2515 Brownlee Rd

Bossier City, LA 71111-2011

Phone: (318) 255-9137

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

Po Box 715

Ruston, LA 71273-0715

Other names (DBA / former)

Doing business as: Jericho Community Home

Registry dates

Enumerated: 2023-08-10
Last updated: 2023-08-10
Certified: 2023-08-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.