Organization
AUTUMN HILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY KILGORE (CFO)
(479) 474-6885
Entity
Organization
Contact information
Practice address
500 HAMMONS AVE, BERRYVILLE, AR 72616-4300
(870) 423-6966
Mailing address
2010 MAIN ST, VAN BUREN, AR 72956-4957
(479) 474-6885
(479) 474-9523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
758
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180138311
—
AR
Enumeration date
01/04/2010
Last updated
02/01/2010
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