NPI 1821515719 · live from the CMS NPI Registry
Autumn Woods Residential Health Care Facility LLC
Skilled Nursing Facility in Warren, MI. National Provider Identifier 1821515719, active.
NPI record
| NPI | 1821515719 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 29800 Hoover Rd, Warren, MI 48093 |
| Practice phone | 586-574-3444 |
| Mailing address | 560 Delaware, Suite 400, Buffalo, NY 14202 |
| Enumerated | August 23, 2017 |
| Last updated | August 23, 2017 |
| Authorized official | Elizabeth Wolf, Executive Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 504240 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.