| NPI | 1730722240 |
|---|---|
| Doing Business As | AUTUMN CARE OF STATESVILLE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM I WEISBERG President 216-292-5706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-12-19 |