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Autumn Corporation

Autumn Corporation is a health care provider in Rocky Mount, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 311 W Phifer Rd, Marshville, NC 28103, US
Practice Location Phone704-624-6643
Practice Location Fax704-624-2022
Legal Business NameAUTUMN CORPORATION
Other Organization NameAUTUMN CARE OF MARSHVILLE
Other Organization Name TypeDoing Business As Name
NPI ?1093791337
Entity TypeOrganization
Enumeration Date ? Dec 19, 2005
Last Update Date ? May 2, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Autumn Corporation

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility NH0421North Carolina

legacy-id-icon Legacy Provider IDs of Autumn Corporation

Provider IdIssuer StateIssuer TypeIssuer
345268North CarolinaMedicare Id-type UnspecifiedNURSING FACILITY
3405268North CarolinaMedicaid

official-icon Authorized Official of Autumn Corporation

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Autumn Corporation's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Sam M. Marsh (CPA)
Authorized Official Title/PositionVICE PRESIDENT/CFO
Authorized Official Phone Number252-443-6265