Organization
THE FAIRFAX HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID VINCENT TAPP (DIRECTOR)
(727) 364-4116
Entity
Organization
Contact information
Practice address
6955 FAIRFAX DR, PORT RICHEY, FL 34668-5643
(727) 843-9501
(727) 843-9501
Mailing address
6955 FAIRFAX DR, PORT RICHEY, FL 34668-5643
(727) 364-4116
(727) 843-9501
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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