OrganizationActive
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
Nursing & Custodial Care Facilities
Practice location
2515 Brownlee Rd
Bossier City, LA 71111-2011
Phone: (318) 255-9137
Approximate (ZIP-level) locationGet directions
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.