# FAIRFAX OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033718382
- **Authorized official:** MR. ELAZAR FISCHER (CHIEF OF OPERATIONS)
- **Authorized official phone:** (804) 664-6046

## Contact information

- **Practice address:** 10701 MAIN ST, FAIRFAX, VA 22030-6904
- **Practice address phone:** (703) 273-7705
- **Practice address fax:** (703) 273-0366
- **Mailing address:** 10701 MAIN ST, FAIRFAX, VA 22030-6995
- **Mailing address phone:** (703) 273-7705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 12/25/2020