AUTUMN LEAVES ASSISTED LIVING CARE INC
Nursing at Ridge Place St, San Antonio, TX

License number
Texas 030361
Category
Nursing
Type
Adult Care Home
Owner
Name: MRS. WILMA JULIA LA CROIX R.N. ALPCM
Title: OWNER
Phone: (210) 256-0553
Address
Address
6411 Ridge Place St, San Antonio, TX 78250
National Provider ID: 1992841746
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUTUMN LEAVES ASSISTED LIVING CARE, INC

San Antonio, TX

Status:
Inactive
Doing business as:
Autumn Leaves Assisted Living Care, Inc
Registration:
Oct 4, 2004
Addresses:
9202 New Guilbeau Rd, San Antonio, TX 78250 (Mailing)
PO Box 761988, San Antonio, TX 78245
State ID:
0800397494
Business type:
Domestic For-Profit Corporation
Governing Person, Members:
Wilma Croix (MEMBER), 9202 New Guilbeau Rd, San Antonio, TX 78250,Hedridge K. La Croix President, inactive,Wilma J. Lacroix President, inactive,...
Agent:
Wilma J La Croix,6411 Rdg Pl St, San Antonio, TX 78250 (Physical)
TIN:
32015950010

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