Autumn Village LLC
NPI #1003815564 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1003815564
- Entity Type
- Organization
- Organization Name
- Autumn Village LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 25 ORIOL DR
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605-1911
- Phone
- (508) 852-3330
Authorized Official
- Name
- MR. SEAN D'URSO
- Title
- OWNER
- Phone
- (508) 852-3330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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