| NPI | 1164510475 |
|---|---|
| Doing Business As | AUTUMN LEAVES NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS DASPIT CEO 225-906-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 494) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-09-11 |