OrganizationActive
Autumn Corporation
NPI 1225014376 · Custodial Care Facility · Rich Square, NC
Provider details
- NPI number
- 1225014376
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Sam Marsh, Vice President/Cfo
- License
- HAL066006 (NC)
Practice location
320 N. Main St
Rich Square, NC 27869
Phone: (252) 539-4161
Fax: (252) 539-4361
Mailing address
Po Box 7728
Rocky Mount, NC 27804-0728
Registry dates
- Enumerated
- 2005-12-21
- 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.