Organization
AUTUMN WIND OF SMITHFIELD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANETTE STEWART ROGERS (ADMINISTRATOR)
(919) 934-7050
Entity
Organization
Contact information
Practice address
4302 NC HIGHWAY 210, SMITHFIELD, NC 27577-7915
(919) 934-7050
(919) 934-3584
Mailing address
4302 NC HIGHWAY 210, SMITHFIELD, NC 27577-7915
(919) 934-7050
(919) 934-3584
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-051-009
NC
Other
Enumeration date
06/30/2007
Last updated
08/14/2007
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