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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 1317 Lola Ave, Altavista, VA 24517-1352, US
Practice Location Phone434-369-6651
Practice Location Fax434-309-7254
Legal Business NameAUTUMN CORPORATION
Other Organization NameAUTUMN CARE OF ALTAVISTA
Other Organization Name TypeDoing Business As Name
NPI ?1134105836
Entity TypeOrganization
Enumeration Date ? Dec 15, 2005
Last Update Date ? Mar 18, 2010
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
Custodial Care Facility NH2483Virginia
Skilled Nursing Facility NH2483Virginia

legacy-id-icon Legacy Provider IDs of Autumn Corporation

Provider IdIssuer StateIssuer TypeIssuer
4951964VirginiaMedicaid

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