Autumn Leaves, Inc
Autumn Leaves, Inc is an Intellectual Disabilities Intermediate Care Facility in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4838 Beacon StDecatur, IL 62521
Phone: (217) 422-1761
Fax: (217) 422-1760
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 38729 (IL) |
|---|
Record details
| NPI number | 1306975594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Autumn Leaves, Inc |
| Authorized official | David Jacobus — President · (217) 763-2191 |
| Other names | Beacon Street Place |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | January 23, 2017 |
| Mailing address | 2576 N Greenway Rd, Cerro Gordo, IL 61818-3022 |
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