| NPI | 1881954592 |
|---|---|
| Doing Business As | AUTUMN LEAVES OF CLEAR LAKE |
| Entity Type | Organization |
| Authorized Contact | CHAD ANDERSON President 214-845-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 105048) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |