NPI | 1730790817 |
---|---|
Doing Business As | THRIVE FOX VALLEY |
Entity Type | Organization |
Authorized Contact | BRADLEY S HABER Member 331-301-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2020-08-12 |
Last Update Date | 2021-09-20 |