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Organization
AUTUMN CARE OF FAYETTEVILLE, LLC
Active
Organization
AUTUMN CARE OF FAYETTEVILLE, LLC
Active
Parent organization
AUTUMN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUTUMN CORPORATION
Authorized official
WILLIAM I WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 867-4960
(910) 867-4980
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/18/2017
Last updated
01/10/2022
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