NPI | 1972766137 |
---|---|
Doing Business As | AUTUMN CARE OF FOREST CITY |
Entity Type | Organization |
Authorized Contact | SAMUEL M MARSH Vice President 252-443-6265 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC NH0474) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |