NPI 1003815564 · live from the CMS NPI Registry
Autumn Village LLC
Skilled Nursing Facility in Worcester, MA. National Provider Identifier 1003815564, active.
NPI record
| NPI | 1003815564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 25 Oriol Dr, Worcester, MA 01605 |
| Practice phone | 508-852-3330 |
| Enumerated | July 18, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Sean D'Urso, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0713 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.