| NPI | 1083917413 |
|---|---|
| Doing Business As | AUTUMN CARE OF FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | SAM M MARSH Vice President 252-443-6265 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2011-01-28 |