Organization
FOXDALE VILLAGE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY HAMILTON CPA (DIRECTOR OF FINANCIAL SERVICES)
(814) 272-2114
Entity
Organization
Contact information
Practice address
500 E MARYLYN AVE, STATE COLLEGE, PA 16801-6269
(814) 238-3322
(814) 238-2920
Mailing address
500 E MARYLYN AVE, STATE COLLEGE, PA 16801-6269
(814) 238-3322
(814) 238-2920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
345650
PA
313M00000X
Nursing Facility/Intermediate Care Facility
063202
PA
314000000X
Skilled Nursing Facility
Primary
063202
PA
Other
Enumeration date
08/09/2006
Last updated
10/02/2007
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