PALO ALTO VA DOMICILLIARY (3876) INSTITUTION (4)

Name	Value
NAME	PALO ALTO VA DOMICILLIARY
STATE	CALIFORNIA
STREET ADDR. 1	3801 MIRANDA AVE
CITY	PALO ALTO
ZIP	94304-1207
OFFICIAL VA NAME	PALO ALTO VA DOMICILLIARY
STATUS	National
ASSOCIATIONS	PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	PALO ALTO VA CARE SITE
EFFECTIVE DATE/TIME	2016-05-19 00:00:00 STATUS: ACTIVE NPI: 1205388394
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	640BV