Healthcare Provider Details

I. General information

NPI: 1164251278
Provider Name (Legal Business Name): DAYDREAMS-ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9932 MAIN ST
FAIRFAX VA
22031-3901
US

IV. Provider business mailing address

10317 BRITTENFORD DR
VIENNA VA
22182-1861
US

V. Phone/Fax

Practice location:
  • Phone: 202-999-9317
  • Fax:
Mailing address:
  • Phone: 202-999-9317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PHAEDRA ALMAJID
Title or Position: PROGRAM DIRECTOR
Credential: MA
Phone: 202-999-9317