Autumn Corporation
Custodial Care Facility in Rocky Mount, NC. Organization (NPI-2).
NPI number1942467964
StatusActive
Last updated in NPPESMay 19, 2008
Details
- NPI
- 1942467964
- Entity type
- Organization (NPI-2)
- Legal business name
- Autumn Corporation
- Organization subpart
- No
- Enumeration date
- May 19, 2008
- Last updated
- May 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | NH0474 | NC | Yes |
Other names
- Autumn Care Of Forest City (Doing Business As)
Practice location
451 N Winstead AveRocky Mount, NC 27804-2230
Phone 252-443-6265 · Fax 252-443-2703
Mailing address
Po Box 7728Rocky Mount, NC 27804-0728
Phone 252-443-6265 · Fax 252-443-2703
Authorized official
Sam M Marsh
Vice President
2524436265
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