Organization
AUTUMNCARE ADULT DAY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT P. MADRAY (PRESIDENT)
(706) 863-9888
Entity
Organization
Contact information
Practice address
3654 J DEWEY GRAY CIR, AUGUSTA, GA 30909-6424
(706) 863-9888
(706) 863-7277
Mailing address
3654 J DEWEY GRAY CIR, AUGUSTA, GA 30909-6424
(706) 863-9888
(706) 863-7277
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0716
—
SC
Enumeration date
12/27/2006
Last updated
08/22/2020
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