Autumn Corporation
Organization Active NPI Nursing Facility/Intermediate Care Facility · Marshville, NC
NPI 1336310697 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1336310697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- NH0421 (NC)
- Legal business name
- AUTUMN CORPORATION
- Practice address
- 311 W Phifer St
Marshville, NC 28103-1322 - Phone
- (704) 624-6643
- Fax
- (704) 624-2022
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Sam M. Marsh, CPA
- Title
- Vice President of Finance
- Phone
- (252) 443-6265
Corporate family (same tax ID) 38
National Provider Directory
- Tax ID family
- Autumn Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH0421 | NC | Yes |
Addresses
Primary practice location
311 W Phifer St
Marshville, NC 28103-1322
Mailing address
311 W Phifer St
Marshville, NC 28103-1322
Phone (704) 624-6643
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406391 | Medicaid | NC |
Other names
- Autumn Care of Marshville
Other providers in Marshville, NC
- Americare Ehalth
- Anderson Behavioral Health, Inc
- Arihant Pharmacy, LLC
- Arihant Pharmacy, LLC
- Autumn Corporation
- Taiwo O Bada
- Baptist Childrens Homes of NC Inc
- Sarah Bradley
- Brenton Bundrick, DDS, PLLC
- Wesley Buie
All providers in Marshville, NC · Nursing Facility/Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.