Organization
AUTUMN EXTENDED CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L HITCHENS (PRESIDENT/CEO)
(740) 345-9199
Entity
Organization
Contact information
Practice address
1433 WALNUT ST, COSHOCTON, OH 43812-2263
(740) 622-6411
Mailing address
23 FORRY ST, NEWARK, OH 43055-4057
(740) 345-9919
(740) 345-7737
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119244
—
OH
Enumeration date
12/06/2010
Last updated
11/13/2013
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