TAMPA VA DOMICILIARY (4017) INSTITUTION (4)

Name	Value
NAME	TAMPA VA DOMICILIARY
STATE	FLORIDA
STREET ADDR. 1	4700 N. HABANA AVE
CITY	TAMPA
ZIP	33614-7160
OFFICIAL VA NAME	TAMPA VA DOMICILIARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	TAMPA VA CARE SITE
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1699135061
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	673BV