Organization Name: | AUTUMN RIDGE, L.P. |
NPI Number: | 1023400389 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY WILLIAM BYERS (MANAGING GENERAL PARTNER) |
Mailing Address: | 14280 W Stanislaus Ave Kerman |
State: | CA US |
Postal Code: | 936301594 |
Phone Number: | 5598427727 |
Fax Number: | 5598344783 |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | 107206271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |