| NPI | 1851377543 |
|---|---|
| Doing Business As | AUTUMN CARE OF RAEFORD |
| Entity Type | Organization |
| Authorized Contact | WILLIAM I. WEISBERG President 216-292-5706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC nh0438) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2022-12-19 |