# AUTUMN CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waddell Nursing & Rehab Center, Waddell Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366428922
- **Authorized official:** WILLIAM I. WEISBERG (PRESIDENT)
- **Authorized official phone:** (216) 292-5706

## Contact information

- **Practice address:** 202 PAINTER ST, GALAX, VA 24333-3830
- **Practice address phone:** (276) 236-5164
- **Practice address fax:** (276) 236-0699
- **Mailing address:** 23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
- **Mailing address phone:** (216) 292-5706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2713 | VA | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 01/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4951263 | — | VA |