Organization
AUTUMN ACRES PERSONAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE TOMSHACK CONSULTANT (ADMINISTRATOR)
(304) 258-4330
Entity
Organization
Contact information
Practice address
400 AUTUMN ACRES RD, BERKELEY SPRINGS, WV 25411-3202
(304) 258-4330
(304) 258-0018
Mailing address
400 AUTUMN ACRES RD, BERKELEY SPRINGS, WV 25411-3202
(304) 258-4330
(304) 258-0018
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
506067
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30021441
—
WV
Enumeration date
09/15/2005
Last updated
08/22/2020
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