Organization
AUTUMN WIND OF BRYSON CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA STEPHENS STEWART (OWNER)
(910) 892-5225
Entity
Organization
Contact information
Practice address
314 HUGHES BRANCH RD., BRYSON CITY, NC 28713
(828) 488-2780
Mailing address
570 LANE RD, DUNN, NC 28334-6270
(910) 892-5225
(910) 892-5225
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL087002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307ECS40
—
NC
Enumeration date
06/26/2007
Last updated
08/22/2020
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