Organization
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J WOLF (EXECUTIVE VICE PRESIDENT)
(586) 574-3444
Entity
Organization
Contact information
Practice address
29800 HOOVER RD, WARREN, MI 48093-3483
(586) 574-3444
Mailing address
560 DELAWARE, SUITE 400, BUFFALO, NY 14202-1204
(716) 826-2257
(716) 819-1540
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
504240
MI
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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