NPI 1033718382

Fairfax Operator LLC

Organisation Skilled Nursing Facility Fairfax, VA

Practice location

Address: 10701 Main St, Fairfax, VA 22030-6904
Phone: (703) 273-7705
Fax: (703) 273-0366
Mailing address: 10701 Main St, Fairfax, VA 22030-6995

Authorised official

Name: Elazar Fischer
Title: Chief of Operations
Phone: (804) 664-6046

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Virginia →

Registry record

NPI: 1033718382
Entity type: Organization
NPI issued: 19 Oct 2020
Record last updated: 25 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.