MADISON VA COMMUNITY LVNG CTR (3744) INSTITUTION (4)

Name	Value
NAME	MADISON VA COMMUNITY LVNG CTR
STATE	WISCONSIN
STREET ADDR. 1	2500 OVERLOOK TERRACE
CITY	MADISON
ZIP	53705-2254
OFFICIAL VA NAME	MADISON VA COMMUNITY LVNG CTR
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: WILLIAM S. MIDDLETON VAMC
BILLING FACILITY NAME	MADISON VA CLC
EFFECTIVE DATE/TIME	2012-01-01 00:00:00 STATUS: ACTIVE NPI: 1558721860
TAXONOMY CODE	Nursing & Custodial Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	6079AA