Organization · Type 2 NPI

Autumn Country Club, Inc.

Adult Day Care Clinic/Center · Joliet, IL

NPI number 1376590810 Active

Practice location

107 N Reed St
Joliet, IL 60435-6825

Fax (815) 741-0943

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed
Private Vehicle 347C00000XADS1102001 (IL)

Adult Day Care Clinic/Center: Definition to come...

About NPI 1376590810

Autumn Country Club, Inc.'s National Provider Identifier is 1376590810, issued on May 30, 2006. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Joliet, IL. The record was last updated on Apr 14, 2016.