Autumn Country Club, Inc.

NPI #1376590810 in Joliet, Illinois

Provider Information

NPI Number
1376590810
Entity Type
Organization
Organization Name
Autumn Country Club, Inc.
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
May 30, 2006
Last Updated
Apr 14, 2016

Practice Location

Address
107 N REED ST
City
Joliet
ZIP Code
60435-6825
Phone
(815) 730-0060

Authorized Official

Name
MS. M CATHERINE WATERMAN
Title
PROGRAM DIRECTOR
Phone
(815) 730-0060

Specialties & Taxonomy Codes

Specialty
Private Vehicle
Clinic/Center - Adult Day CareAdult Day Care

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