AUTUMN HOUSE NPI 1962646836

NPI Information

AUTUMN HOUSE is a residential treatment facility, intellectual and/or developmental disabilities in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. AUTUMN HOUSE NPI is 1962646836. The provider is registered as an organization entity type.

The provider's business location address is:

3902 DERBYSHIRE DR
GREENSBORO, NC
ZIP 27410-216
Phone: (336) 288-7360
Fax: (336) 273-6522

The provider's authorized official is Derek Mitchell .
The authorized official title is Operations Manager and has the following contact phone number (336) 273-2640.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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