Contract Details
Cleveland Senior Living
Facility name
Autumn Woods
Provider ID
P000000001
Tax ID
842199116
Effective Date
11/24/2020
Last Updated
12/1/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_466
Location Details
Address
655 Gardner Drive SE
Jacksonville, AL 36265
United States
Phone
256-782-2801 (Phone)
Billing Details
Address
655 Gardner Drive SE
Jacksonville, AL 36265
Billing Phone
Specialty Type
Assisted Living Facility
Website
Workers Comp Coordinator
Trina
Cleveland
256-782-2801
Marsha
Smith
256-782-2801
Map
Address