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
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
| Private Vehicle | 347C00000X | ADS1102001 (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.