Organization
AUTUMN CORPORATION
Active
Other names
Shenandoah Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I. WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
339 WESTMINISTER DR, FISHERSVILLE, VA 22939-2111
(540) 949-8665
(540) 943-8691
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2686
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4952626
—
VA
Enumeration date
12/15/2005
Last updated
01/14/2022
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