PHILADELPHIA VA DOMICILIARY (3880) INSTITUTION (4)

Name	Value
NAME	PHILADELPHIA VA DOMICILIARY
STATE	PENNSYLVANIA
STREET ADDR. 1	1425 SNYDER AVE
CITY	PHILADELPHIA
ZIP	19145-2317
OFFICIAL VA NAME	PHILADELPHIA VA DOMICILIARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: PHILADELPHIA, PA VAMC
BILLING FACILITY NAME	PHILADELPHIA VA CARE SITE
EFFECTIVE DATE/TIME	2012-08-01 00:00:00 STATUS: ACTIVE NPI: 1679933048
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	642BU