| NPI | 1134105836 |
|---|---|
| Doing Business As | AUTUMN CARE OF ALTAVISTA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM I. WEISBERG Vice President 216-292-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA nh2483) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: VA nh2483) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-01-21 |