NPI 1245961291
Autumn Lake LLC
Practice location
- Address
- 11758 S Harrells Ferry Rd STE C, Baton Rouge, LA 70816-2365
- Phone
- (225) 246-2740
- Fax
- (225) 367-4687
Authorised official
- Name
- Cristal Riley
- Title
- Coo
- Phone
- (225) 888-5881
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1245961291
- Entity type
- Organization
- NPI issued
- 21 Jun 2022
- Record last updated
- 21 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.