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.
|Practice Location||311 W Phifer Rd, Marshville, NC 28103, US|
|Practice Location Phone||704-624-6643|
|Practice Location Fax||704-624-2022|
|Legal Business Name||AUTUMN CORPORATION|
|Other Organization Name||AUTUMN CARE OF MARSHVILLE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Dec 19, 2005|
|Last Update Date ?||May 2, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities||NH0421||North Carolina|
|Provider Id||Issuer State||Issuer Type||Issuer|
|345268||North Carolina||Medicare Id-type Unspecified||NURSING FACILITY|
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/Position||VICE PRESIDENT/CFO|
|Authorized Official Phone Number||252-443-6265|