GAINESVILLE VA DOMICILIARY (3625) INSTITUTION (4)

Name	Value
NAME	GAINESVILLE VA DOMICILIARY
STATE	FLORIDA
STREET ADDR. 1	1601 SW ARCHER ROAD
CITY	GAINESVILLE
ZIP	32608-1197
OFFICIAL VA NAME	GAINESVILLE VA DOMICILIARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	GAINESVILLE VA CARE SITE
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1174983480
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	573BU