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AUTUMN LEAVES ASSISTED LIVING CARE INC

Adult Care Home

San Antonio, Texas

Provider NPI: 1992841746

Organization Information:
Organization Name:  AUTUMN LEAVES ASSISTED LIVING CARE INC


Practice Location:
6411 RIDGE PLACE ST  SAN ANTONIO, TX 78250 US
Tel: 210-256-0553  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
TX030361

Other Provider Identifiers:

IssuerNumberStateType
1992841746TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS TX - Page 1