# FAIRFAX HOME HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396926952
- **Authorized official:** MR. MOHAMED A HASHI M (OWNER)
- **Authorized official phone:** (703) 943-9112

## Contact information

- **Practice address:** 4810 BEAUREGARD STREET, SUITE G4, ALEXANDRIA, VA 22312
- **Practice address phone:** (703) 943-9112
- **Practice address fax:** (703) 891-9051
- **Mailing address:** 4810 BEAUREGARD ST, SUITE G 4, ALEXANDRIA, VA 22312-1709
- **Mailing address phone:** (703) 943-9112
- **Mailing address fax:** (703) 891-9051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2007
- **Last updated:** 11/23/2007
