BRIGHTVIEW FAIR OAKS LLC NPI 1952940322

NPI Information

BRIGHTVIEW FAIR OAKS, 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. BRIGHTVIEW FAIR OAKS, LLC NPI is 1952940322. The provider is registered as an organization entity type.

The provider's business location address is:

12725 LEE HIGHWAY
FAIRFAX, VA
ZIP 22030
Phone: (571) 495-5907
Fax: (571) 495-5908

The provider's authorized official is David Greydanus .
The authorized official title is Authorized Signatory and has the following contact phone number (410) 962-0595.

The CLIA number assigned to this NPI record is 49D2228889 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/2/2020.

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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