| NPI | 1932644994 |
|---|---|
| Doing Business As | AUTUMN GLEN AT DARTMOUTH |
| Entity Type | Organization |
| Authorized Contact | SHAWN M BERTRAM VP Of Operations 508-404-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2017-01-30 |