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Autumn Country Club, Inc.
Private Vehicle in Joliet, Illinois
NPI 1376590810

Autumn Country Club, Inc. is a Private Vehicle based in Joliet, IL. Autumn Country Club, Inc. practices in Joliet, IL. The NPI Number for Autumn Country Club, Inc. is 1376590810 and holds a License No. (Illinois).

The current practice location address for Autumn Country Club, Inc. is 107 N Reed St, Joliet, IL and can be reached out via phone at 815-730-0060 and via fax at 815-741-0943.

Location: 107 N Reed St, Joliet, IL, 60435-6825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376590810
Provider Name
Autumn Country Club, Inc.
Credential
Provider Entity Type
Organization
Address
107 N Reed St, Joliet, IL, 60435-6825
Phone Number
815-730-0060
Fax Number
815-741-0943
Provider Enumeration Date
05/30/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
107 N Reed St
City
Joliet
State
Illinois
Zip
60435-6825
Phone Number
815-730-0060
Fax Number
815-741-0943
person
Provider Business Mailing Address Details
Address
107 N Reed St
City
Joliet
State
Illinois
Zip
60435-6825
Phone Number
815-730-0060
Fax Number
815-741-0943
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
ADS1102001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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