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Autumn Leaves, Inc.
Intellectual Disabilities Intermediate Care Facility in Decatur, Illinois
NPI 1306975594

Autumn Leaves, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Cerro Gordo, IL. Autumn Leaves, Inc. practices in Decatur, IL. The NPI Number for Autumn Leaves, Inc. is 1306975594 and holds a License No. 38729 (Illinois).

The current practice location address for Autumn Leaves, Inc. is 4838 Beacon Street, Decatur, IL and can be reached out via phone at 217-422-1761 and via fax at 217-422-1760.

Location: 4838 Beacon Street, Decatur, IL, 61818-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306975594
Provider Name
Autumn Leaves, Inc.
Credential
Provider Entity Type
Organization
Address
4838 Beacon Street, Decatur, IL, 61818-3022
Phone Number
217-422-1761
Fax Number
217-422-1760
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4838 Beacon Street
City
Decatur
State
Illinois
Zip
62521
Phone Number
217-422-1761
Fax Number
217-422-1760
person
Provider Business Mailing Address Details
Address
4838 Beacon Street
City
Decatur
State
Illinois
Zip
62521
Phone Number
217-422-1761
Fax Number
217-422-1760
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
38729 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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