Organization
POST-ACUTE CARE CENTER OPCO LLC
Active
Other names
Autumn Lake Healthcare Post Acute Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(877) 567-0402
Entity
Organization
Contact information
Practice address
5009 FRANKFORD AVENUE, BALTIMORE, MD 21206-5353
(410) 325-4000
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2644
(877) 567-0402
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/26/2018
Last updated
02/06/2020
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