Organization
AUTUMN RIDGE, L.P.
Active
Organization
AUTUMN RIDGE, L.P.
Active
Parent organization
TRINITY RETIREMENT SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY RETIREMENT SERVICES, INC.
Authorized official
MR. BARRY WILLIAM BYERS M.P.A. (LICENSEE)
(559) 304-7095
Entity
Organization
Contact information
Practice address
14280 W STANISLAUS AVE, KERMAN, CA 93630-1594
(559) 304-7095
Mailing address
2008 N THOMPSON AVE, REEDLEY, CA 93654-8828
(559) 304-7095
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107206271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107206271
CA DEP'T. OF SOCIAL SERVICES - COMMUNITY CARE LICENSING
CA
Enumeration date
04/12/2016
Last updated
04/12/2016
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