Organization
AUTUMN CORPORATION
Active
Other names
Waddell Nursing & Rehab Center, Waddell Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I. WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5164
(276) 236-0699
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951263
—
VA
Enumeration date
12/15/2005
Last updated
01/14/2022
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