| NPI | 1891206314 |
|---|---|
| Doing Business As | FOX TRAIL AT TALL PINES |
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMPSON Member 540-364-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |