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Autumn Corporation
Nursing Facility/Intermediate Care Facility in Shallotte, North Carolina
NPI 1528239878

Autumn Corporation is a Nursing Facility/Intermediate Care Facility based in Shallotte, NC. Autumn Corporation practices in Shallotte, NC. The NPI Number for Autumn Corporation is 1528239878 and holds a License No. NH0456 (North Carolina).

The current practice location address for Autumn Corporation is 237 Mulberry St, Shallotte, NC and can be reached out via phone at 910-754-8858 and via fax at 910-755-5059.

Location: 237 Mulberry St, Shallotte, NC, 28470-4471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528239878
Provider Name
Autumn Corporation
Credential
Provider Entity Type
Organization
Address
237 Mulberry St, Shallotte, NC, 28470-4471
Phone Number
910-754-8858
Fax Number
910-755-5059
Provider Enumeration Date
03/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406462 05 NC
institution
Provider Business Practice Location Address Details
Address
237 Mulberry St
City
Shallotte
State
North Carolina
Zip
28470-4471
Phone Number
910-754-8858
Fax Number
910-755-5059
person
Provider Business Mailing Address Details
Address
237 Mulberry St
City
Shallotte
State
North Carolina
Zip
28470-4471
Phone Number
910-754-8858
Fax Number
910-755-5059
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH0456 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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