NPI | 1114461175 |
---|---|
Doing Business As | FOXES GROVE SUPPORTING LIVING |
Entity Type | Organization |
Authorized Contact | JAMES MASON President 813-347-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2016-12-10 |
Last Update Date | 2021-06-25 |