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1699153205
AUTUMN LAKE LLC
BATON ROUGE, LA
NPI
1699153205
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Entity Type
Organization
Authorized Contact
CRISTAL RILEY
COO
225-246-2740
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2015-05-14
Last Update Date
2019-08-26
Business Address
AUTUMN LAKE LLC
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816-2365
Phone number: 225-246-2740
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Mailing Address
AUTUMN LAKE LLC
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816-2365
Phone number: 225-246-2740
Copy
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