| NPI | 1619241833 |
|---|---|
| Doing Business As | AUTUMN WIND ASSISTED LIVING OF LOUISBURG |
| Entity Type | Organization |
| Authorized Contact | ADE S GANIYU President 919-934-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |