Organization
PATHWAY ASSISTED LIVING AUTUMN RIDGE LLC
Active
Organization
PATHWAY ASSISTED LIVING AUTUMN RIDGE LLC
Active
Other names
Autumn Ridge Assisted Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JOHNSON (LICENSEE)
(661) 972-4646
Entity
Organization
Contact information
Practice address
14280 W STANISLAUS AVE, KERMAN, CA 93630-1594
(559) 642-7727
Mailing address
14280 W STANISLAUS AVE, KERMAN, CA 93630-1594
(559) 642-7727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
05/17/2024
Last updated
05/29/2026
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