Organization · NPI-2

Autumn Corporation

Skilled Nursing Facility · Norfolk, VA

NPI number1376529925
StatusActive
Last updated in NPPESJan 10, 2022

Details

NPI
1376529925
Entity type
Organization (NPI-2)
Legal business name
Autumn Corporation
Organization subpart
Yes
Enumeration date
Dec 15, 2005
Certification date
Jan 10, 2022
Last updated
Jan 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facilitynh2486VAYes

Other names

  • Autumn Care Of Norfolk (Doing Business As)

Practice location

1401 Halstead Ave
Norfolk, VA 23502-2003

Phone 757-857-0481 · Fax 757-857-0615

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827

Phone 216-292-5706

Authorized official

William I. Weisberg
President
2162925706

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