Organization
BH BRIGHTVIEW FAIR OAKS OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ENGLE (AUTHORIZED SIGNATORY)
(410) 962-0595
Entity
Organization
Contact information
Practice address
12725 LEE HIGHWAY, FAIRFAX, VA 22030
(571) 495-5907
(571) 495-5908
Mailing address
12725 LEE HIGHWAY, FAIRFAX, VA 22030
(571) 495-5907
(571) 495-5908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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