| NPI | 1699333468 |
|---|---|
| Doing Business As | AUTUMN LAKE HEALTHCARE AT BELOIT |
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO 877-567-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |