Provider First Line Business Practice Location Address:
190 FOX HOLLOW CT
Provider Second Line Business Practice Location Address:
C/O FOX HOLLOW ASSISTED LIVING
Provider Business Practice Location Address City Name:
PINEHURST
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28374-8549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-695-5311
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2014