Organization
AUTUMN CORPORATION
Active
Parent organization
AUTUMN CORPORATION
Other names
Autumn Care of Fayetteville
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUTUMN CORPORATION
Authorized official
SAM M MARSH (VICE PRESIDENT)
(252) 443-6265
Entity
Organization
Contact information
Practice address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 973-2348
Mailing address
PO BOX 26300, FAYETTEVILLE, NC 28314-5021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
01/28/2011
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