Organization
1 AUTUMN SPRINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AREYA RENEA SQUARE LVN (OWNER)
(682) 717-3920
Entity
Organization
Contact information
Practice address
817 LOFTIN ST, CROWLEY, TX 76036
(682) 717-3920
Mailing address
817 LOFTIN ST, CROWLEY, TX 76036
(682) 717-3920
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
228309
TX
Other
Enumeration date
05/22/2015
Last updated
08/08/2016
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