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
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
08/05/2025
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