Healthcare Provider Details

I. General information

NPI: 1720760069
Provider Name (Legal Business Name): BONRIFUH INVESTMENT GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 CENTER ST
MANASSAS VA
20110-5403
US

IV. Provider business mailing address

8955 CENTER ST
MANASSAS VA
20110-5403
US

V. Phone/Fax

Practice location:
  • Phone: 703-623-0782
  • Fax:
Mailing address:
  • Phone: 703-623-0782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS ANNA L NGUNDAM
Title or Position: VICE PRESIDENT
Credential:
Phone: 703-623-0782