Organization
BRIGHTVIEW FAIRFAX, LLC
Active
Other names
Brightview Woodburn
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREYDANUS (AUTHORIZED SIGNATORY)
(410) 962-0595
Entity
Organization
Contact information
Practice address
3450 GALLOWS ROAD, ANNANDALE, VA 22003
(703) 462-9998
(703) 992-7915
Mailing address
3450 GALLOWS ROAD, ANNANDALE, VA 22003
(703) 462-9998
(703) 992-7915
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
06/15/2016
Last updated
11/06/2020
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