# AUTUMN CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUTUMN CORPORATION
- **Other names:** Autumn Care of Fayetteville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083917413
- **Legal business name:** AUTUMN CORPORATION
- **Authorized official:** SAM M MARSH (VICE PRESIDENT)
- **Authorized official phone:** (252) 443-6265

## Contact information

- **Practice address:** 1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
- **Practice address phone:** (910) 973-2348
- **Mailing address:** PO BOX 26300, FAYETTEVILLE, NC 28314-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 01/28/2011