NPI | 1376590810 |
---|---|
Doing Business As | AUTUMN ADULT DAY CARE |
Entity Type | Organization |
Authorized Contact | M CATHERINE WATERMAN Program Director 815-730-0060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: IL ADS1102001) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2016-04-14 |