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Organization
AUTUMN CORPORATION
Active
Organization
AUTUMN CORPORATION
Active
Parent organization
AUTUMN CORPORATION
Other names
Autumn Care of Fayetteville
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUTUMN CORPORATION
Authorized official
SAM M MARSH (VICE PRESIDENT)
(252) 443-6265
Entity
Organization
Contact information
Practice address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 973-2348
Mailing address
PO BOX 26300, FAYETTEVILLE, NC 28314-5021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/07/2010
Last updated
01/28/2011
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