NPI 1386636116

Fairfax Nursing Center, INC

Organisation Skilled Nursing Facility Fairfax, VA

Practice location

Address: 10701 Main St, Fairfax, VA 22030-6904
Phone: (703) 273-7705
Fax: (703) 273-9066

Authorised official

Name: Renee Bainum Carlson
Title: Executive Administrator
Phone: (703) 273-7705

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH2552 (VA)

Other Skilled Nursing Facility providers in Virginia →

Registry record

NPI: 1386636116
Entity type: Organization
NPI issued: 18 Aug 2005
Record last updated: 7 Aug 2015

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.