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1255812582
AUTUMN LAKE LLC
BATON ROUGE, LA
NPI
1255812582
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Entity Type
Organization
Authorized Contact
CRISTAL RILEY
Hr
225-400-4300
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
AUTUMN LAKE LLC
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816-2365
Phone number: 225-400-4300
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Mailing Address
AUTUMN LAKE LLC
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816-2365
Phone number:
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