Autumn Wind
NPI #1457556458 in Roseboro, North Carolina
Provider Information
- NPI Number
- 1457556458
- Entity Type
- Organization
- Organization Name
- Autumn Wind
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 507 W PINEWOOD ST
- City
- Roseboro
- State
- North Carolina
- ZIP Code
- 28382-5259
- Phone
- (910) 525-4082
Authorized Official
- Name
- MR. JESSE CHAD STEWART
- Title
- ADMINISTRATOR
- Phone
- (910) 525-4082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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