| NPI | 1861976342 |
|---|---|
| Doing Business As | FOXTAIL LODGE |
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN BRYLOWSKI Vice President 321-662-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |