OrganizationActive
Autumn Corporation
NPI 1205812427 · Skilled Nursing Facility · Rich Square, NC
Provider details
- NPI number
- 1205812427
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Marsh, Vice President/Cfo(252) 443-6265
- License
- NH0045 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
320 N. Main St
Rich Square, NC 27869
Phone: (252) 439-4161
Fax: (252) 439-4361
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7728
Rocky Mount, NC 27804-0728
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.