NPI | 1942474002 |
---|---|
Doing Business As | AUTUMN CARE OF RAEFORD |
Entity Type | Organization |
Authorized Contact | SAM M MARSH Vice President 252-443-6265 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0438) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2008-04-18 |