OrganizationActive
Autumn Corporation
NPI 1417933615 · Skilled Nursing Facility · King, NC
Provider details
- NPI number
- 1417933615
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Sam Marsh, Vice President/Cfo
- License
- NH0507 (NC)
Practice location
440 Ingram Road Ext.
King, NC 27021
Phone: (336) 983-4900
Fax: (336) 983-4710
Mailing address
Po Box 7728
Rocky Mount, NC 27804-0728
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.