Organization
AUTUMN HEALTH CARE OF MT. VERNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L. HITCHENS (PRESIDENT)
(740) 345-9199
Entity
Organization
Contact information
Practice address
1135 GAMBIER ROAD, MT VERNON, OH 43050
(740) 392-1099
(740) 392-2412
Mailing address
1135 GAMBIER ROAD, MT. VERNON, OH 43050
(740) 392-1099
(740) 392-2412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2630N
OH
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086748
—
OH
Enumeration date
02/26/2010
Last updated
01/05/2015
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