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Organization
AUTUMN LEAVES ASSISTED LIVING CARE INC
Active
Organization
AUTUMN LEAVES ASSISTED LIVING CARE INC
Active
Other names
Autumn Leaves Assisted Living Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILMA JULIA LA CROIX R.N. ALPCM (OWNER)
(210) 256-0553
Entity
Organization
Contact information
Practice address
6411 RIDGE PLACE ST, SAN ANTONIO, TX 78250-4038
(210) 256-0553
(210) 680-1343
Mailing address
9202 NEW GUILBEAU RD, SAN ANTONIO, TX 78250-5802
(210) 844-7927
(210) 463-9374
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
030361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992841746
—
TX
Enumeration date
01/29/2007
Last updated
09/30/2021
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