# AUTUMN LIFECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922035849
- **Authorized official:** REBECCA HUNTON M.D. (OWNER)
- **Authorized official phone:** (321) 693-0964

## Contact information

- **Practice address:** 1210 BRIARMEADOW DR, COLUMBUS, OH 43235-1616
- **Practice address phone:** (321) 693-0964
- **Mailing address:** PO BOX 372190, SATELLITE BEACH, FL 32937-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35-81962 | OH | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020