Autumn Corporation in King - Skilled Nursing Facility

Autumn Corporation - NPI 1417933615

Autumn Corporation is a Skilled Nursing Facility in King, North Carolina. Autumn Corporation practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Autumn Corporation is 1417933615. The last update date is 2008-05-02.

Autumn Corporation's current location address is 440 Ingram Road Ext., King, North Carolina. You can contact this provider via phone number 3369834900 and fax number 3369834710. The mailing address for Autumn Corporation is 440 Ingram Road Ext., King, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Autumn Corporation
Address 440 Ingram Road Ext., King, North Carolina
Phone Number 3369834900
Fax Number 3369834710
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Marsh M. Sam
Credentials CPA
Telephone Number 2524436265

NPI Number Detail

NPI Number 1417933615
Provider Enumeration Date 2005-12-20
Last Updated Date 2008-05-02

Provider Mailing Address Detail

Address 440 Ingram Road Ext.
City King
State North Carolina (NC)
Post Code 27021
Phone Number 3369834900
Fax Number 3369834710

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NH0507
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3405381 NC --

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FAQs about Autumn Corporation

What is the unique 10-digit identification code issued to Autumn Corporation by the Centers for Medicare & Medicaid Services?

The Autumn Corporation has been assigned the NPI (National Provider Identifier) 1417933615 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Autumn Corporation?

The Autumn Corporation is physically situated at 440 Ingram Road Ext., in the city of King, state of NC, with the postal code 27021.

What is Autumn Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Autumn Corporation's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417933615 to Autumn Corporation?

The Centers for Medicare & Medicaid Services assigned the 1417933615 to Autumn Corporation on 2005-12-20.

As of what date was the information regarding Autumn Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Autumn Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-02.

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