Provider Demographics
NPI:1275989709
Name:ROCK BRIDGE TRAINING INSTITUTE LLC
Entity Type:Organization
Organization Name:ROCK BRIDGE TRAINING INSTITUTE LLC
Other - Org Name:ROCK BRIDGE HOME HEATH SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-219-5779
Mailing Address - Street 1:1916 BONN ST
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-2011
Mailing Address - Country:US
Mailing Address - Phone:318-762-4988
Mailing Address - Fax:
Practice Address - Street 1:200 N THOMAS DR STE 14
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-6555
Practice Address - Country:US
Practice Address - Phone:318-219-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health