institution
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. You can also correspond with Autumn Country Club, Inc. through the mailing address at 107 N REED ST, JOLIET, IL - 60435-6825 (mailing address contact number: 815-730-0060).

Location: 107 N Reed St, Joliet, IL, 60435-6825
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
State
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
State
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
License No.
ADS1102001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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