Organization
AUTUMNCARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT P MADRAY (OWNER)
(706) 526-4378
Entity
Organization
Contact information
Practice address
211 E 7TH ST, WAYNESBORO, GA 30830-1408
(706) 526-4378
(706) 526-4378
Mailing address
342 BARNSLEY DR, EVANS, GA 30809-8235
(706) 210-7288
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328650128A
—
GA
05
—
328650128B
—
GA
Enumeration date
02/25/2008
Last updated
07/02/2008
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