Organization
AUTUMN COUNTRY CLUB, INC.
Active
Other names
Autumn Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M CATHERINE WATERMAN (PROGRAM DIRECTOR)
(815) 730-0060
Entity
Organization
Contact information
Practice address
107 N REED ST, JOLIET, IL 60435-6825
(815) 730-0060
(815) 741-0943
Mailing address
107 N REED ST, JOLIET, IL 60435-6825
(815) 730-0060
(815) 741-0943
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
347C00000X
Private Vehicle
ADS1102001
IL
Other
Enumeration date
05/30/2006
Last updated
04/14/2016
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