Community Bridges South, Inc.
May also be knows as Braswell Lane Home
Intellectual Disabilities Intermediate Care Facility in Simsboro, LA(View on Map)
Legal Business Name
Community Bridges South, Inc.
Also Known As
Braswell Lane Home
NPI Number
1346376084
NPI Type
Organization
Enumeration Date
02/26/2007
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
1038
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 715
560 BRASWELL LANE
City
Ruston
Simsboro
State
LA
LA
Postal Code
71273-0715
71275
Country
US
US
Telephone Number
(318) 255-1937
(318) 255-1937
Authorized Official
Name
Mr. Mike Reynolds
Title or Position
CEO
Telephone Number
(318) 255-1937
Identifiers
Identifier
1710008
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020