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Contact Information

AUTUMN CORPORATION
311 W PHIFER RD
MARSHVILLE, NC28103
 Phone: 704-624-6643
 Fax: 704-624-2022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Adult Care Home

311ZA0620X
Indicates primary specialty

NPI Profile & details for AUTUMN CORPORATION

NPI # 1093791337
LBN Legal business name AUTUMN CORPORATION
Authorized official WILLIAM WEISBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/19/2005
Last updated 12/19/2022 - About 3 years ago
Identifiers
NC License # NH0421
NC Medicaid 3405268
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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