| NPI | 1992841746 |
|---|---|
| Doing Business As | AUTUMN LEAVES ASSISTED LIVING INC |
| Entity Type | Organization |
| Authorized Contact | WILMA JULIA LA CROIX Owner 210-256-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 030361) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-09-30 |