| NPI | 1992511174 |
|---|---|
| Other Name | AUTUMN LAKE SKILLED NURSING AND REHAB |
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Specialist 410-800-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |