Provider Demographics
NPI:1891951737
Name:AUTUMN SCHAUER
Entity Type:Organization
Organization Name:AUTUMN SCHAUER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MISS
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SCHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-270-1370
Mailing Address - Street 1:307 SHADY TREE CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45315-9652
Mailing Address - Country:US
Mailing Address - Phone:937-270-1370
Mailing Address - Fax:
Practice Address - Street 1:307 SHADY TREE CT
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315-9652
Practice Address - Country:US
Practice Address - Phone:937-270-1370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH328767311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home