Organization
AUTUMN CORPORATION
Active
Other names
Autumn Care of Cornelius
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I. WEISBERG (PRESIDENT)
(216) 292-5706
Entity
Organization
Contact information
Practice address
19530 MT. ZION PKWY, CORNELIUS, NC 28031
(704) 997-2970
(704) 997-2971
Mailing address
23700 COMMERCE PARK, BEACHWOOD, OH 44122-5827
(216) 292-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0643
NC
Other
Enumeration date
01/21/2015
Last updated
12/15/2021
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