| NPI | 1679995526 |
|---|---|
| Doing Business As | AUTUMN LEAVES OF BOLINGBROOK |
| Entity Type | Organization |
| Authorized Contact | FELICHIA FIELDS VP Of Management Sl 214-845-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 5104283) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |