# FOXDALE VILLAGE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417967720
- **Authorized official:** COREY HAMILTON CPA (DIRECTOR OF FINANCIAL SERVICES)
- **Authorized official phone:** (814) 272-2114

## Contact information

- **Practice address:** 500 E MARYLYN AVE, STATE COLLEGE, PA 16801-6269
- **Practice address phone:** (814) 238-3322
- **Practice address fax:** (814) 238-2920
- **Mailing address:** 500 E MARYLYN AVE, STATE COLLEGE, PA 16801-6269
- **Mailing address phone:** (814) 238-3322
- **Mailing address fax:** (814) 238-2920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 345650 | PA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 063202 | PA | — |
| 314000000X | Skilled Nursing Facility | 063202 | PA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 10/02/2007
