| NPI | 1942467964 |
|---|---|
| Doing Business As | AUTUMN CARE OF FOREST CITY |
| Entity Type | Organization |
| Authorized Contact | SAM M MARSH Vice President 252-443-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC NH0474) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |