Organization
AUTUMN HILLS CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DIPASQUA (ADMINISTRATOR)
(330) 652-2053
Entity
Organization
Contact information
Practice address
2565 NILES VIENNA RD, NILES, OH 44446-4401
(330) 652-2053
(330) 652-0112
Mailing address
2565 NILES VIENNA RD, NILES, OH 44446-4401
(330) 652-2053
(330) 652-0112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0619272
—
OH
Enumeration date
01/10/2006
Last updated
08/22/2020
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