Organization
AUTREY INSURANCE AGENCY
Active
Organization
AUTREY INSURANCE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUICE LYDELL AUTREY (OWNER)
(909) 331-7318
Entity
Organization
Contact information
Practice address
1867 ROCK LN, LA VERNE, CA 91750-2611
(909) 331-7318
(626) 935-9884
Mailing address
1867 ROCK LN, LA VERNE, CA 91750-2611
(909) 331-7318
(626) 935-9884
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
05/28/2026
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