ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC NPI 1407004278

NPI Information

ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC is an assisted living facility in Fairfax, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC NPI is 1407004278. The provider is registered as an organization entity type.
The provider Is Doing Business As Arden Courts Of Fair Oaks.

The provider's business location address is:

12469 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA
ZIP 22033-803
Phone: (703) 383-0060
Fax: (703) 383-1237

The provider's authorized official is Barry A Lazarus .
The authorized official title is Vice President - Reimbursement and has the following contact phone number (419) 252-5541.

The CLIA number assigned to this NPI record is 49D2028052 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 9/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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