VADOM MENLO PARK (752) INSTITUTION (4)

Name	Value
NAME	VADOM MENLO PARK
STATE	CALIFORNIA
STREET ADDR. 1	795 WILLOW ROAD
CITY	MENLO PARK
ZIP	94025-2539
OFFICIAL VA NAME	VADOM MENLO PARK
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	MENLO PARK VA CARE SITE
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1407216880
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	640BU
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 640BU