Organization Name: | DEPT. OF VETERANS AFFAIRS |
NPI Number: | 1730267576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA ANNE JONES (RECREATION THERAPIST) |
Mailing Address: | 16111 Plummer St Rt117 Sepulveda |
State: | CA US |
Postal Code: | 913432036 |
Phone Number: | 8188917711 |
Fax Number: | 8188955883 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 32520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |