| NPI | 1255502514 |
|---|---|
| Doing Business As | AUTUMN CARE OF MYRTLE GROVE |
| Entity Type | Organization |
| Authorized Contact | SAM M MARSH Vice President Of Finance 252-443-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0595) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |