Provider Demographics
NPI:1700908928
Name:B BUSINESS CORP
Entity Type:Organization
Organization Name:B BUSINESS CORP
Other - Org Name:AUTUMN YEARS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-287-7353
Mailing Address - Street 1:921 SURRY DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-7140
Mailing Address - Country:US
Mailing Address - Phone:828-287-7353
Mailing Address - Fax:828-288-7350
Practice Address - Street 1:921 SURRY DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-7140
Practice Address - Country:US
Practice Address - Phone:828-287-7353
Practice Address - Fax:828-288-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805625Medicaid