Autumn Village, Inc.
Organization Active NPI Adult Care Home Facility · Beulaville, NC
NPI 1992929475 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992929475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- HAL-031-014 (NC)
- Legal business name
- AUTUMN VILLAGE, INC.
- Practice address
- 235 N NC 41 Hwy
Beulaville, NC 28518-8633 - Phone
- (910) 298-5877
- Fax
- (910) 298-5578
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rhonda Susan Ambrose
- Title
- Administrator
- Phone
- (910) 298-5877
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | HAL-031-014 | NC | Yes |
Addresses
Primary practice location
235 N NC 41 Hwy
Beulaville, NC 28518-8633
Mailing address
PO Box 1140
Beulaville, NC 28518-1140
Phone (910) 298-5877
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All providers in Beulaville, NC · Adult Care Home 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 Aug 22, 2020. 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.