# AUTUMN LEAVES NURSING AND REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356402515
- **Authorized official:** VIRGINIA BETH IRWIN (PRESIDENT)
- **Authorized official phone:** (903) 657-8969

## Contact information

- **Practice address:** 321 KILGORE DR, HENDERSON, TX 75652-5215
- **Practice address phone:** (903) 657-1923
- **Practice address fax:** (903) 657-6464
- **Mailing address:** 321 KILGORE DR, HENDERSON, TX 75652-5215
- **Mailing address phone:** (903) 657-1923
- **Mailing address fax:** (903) 657-6764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116372 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/21/2015