Healthcare Provider Details

I. General information

NPI: 1558342329
Provider Name (Legal Business Name): FOX NURSING HOME CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2644 BRISTOL ROAD
WARRINGTON PA
18976
US

IV. Provider business mailing address

2644 BRISTOL ROAD
WARRINGTON PA
18976
US

V. Phone/Fax

Practice location:
  • Phone: 215-343-2700
  • Fax: 215-343-8761
Mailing address:
  • Phone: 215-343-2700
  • Fax: 610-862-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StatePA

VIII. Authorized Official

Name: WALT DUNSMORE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 610-862-0630