Organization
AUTUMN CARE OF FAYETTEVILLE, LLC
Active
Parent organization
AUTUMN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUTUMN CORPORATION
Authorized official
WILLIAM I WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
1401 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2814
(910) 867-4960
(910) 867-4980
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/10/2022
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