Provider Demographics
NPI:1336868660
Name:DIRECTOR OF FINANCE - COUNTY OF FAIRFAX VA
Entity Type:Organization
Organization Name:DIRECTOR OF FINANCE - COUNTY OF FAIRFAX VA
Other - Org Name:LEWINSVILLE ADULT DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-324-2536
Mailing Address - Street 1:12011 GOVERNMENT CENTER PARKWAY
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22035
Mailing Address - Country:US
Mailing Address - Phone:703-324-5570
Mailing Address - Fax:
Practice Address - Street 1:12011 GOVERNMENT CENTER PARKWAY
Practice Address - Street 2:SUITE 1050
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22035
Practice Address - Country:US
Practice Address - Phone:703-324-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF FAIRFAX VA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-22
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care