AUTUMN LEAVES, INC.
Nursing in Decatur, IL

License number
Illinois 38729
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: MR. DAVID MICHAEL JACOBUS
Title: PRESIDENT
Phone: (217) 763-2191
Address
Address 2
4838 Beacon St, Decatur, IL 62521
2576 N Greenway Rd, Cerro Gordo, IL 61818
National Provider ID: 1306975594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AUTUMN LEAVES, INC. at bizstanding.com

Autumn Leaves Inc

3650 E William St Rd, Decatur, IL 62521

Industry:
Nursing Home Management
Doing business as:
44th Street Place<br>Beacon Street Place<br>Hickory Street Place
Phone:
(217) 763-2191 (Phone)
Vice-Presidents:
Dave Jacobus (President),Kimberlea Jacobus (Vice-President)

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