| NPI | 1225504855 |
|---|---|
| Doing Business As | AUTUMN LAKE HEALTHCARE AT BELOIT |
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO 877-567-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |