Other Service (506)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Other Service
CLASSIFICATION Nursing Home Administrator
STATUS Inactive
DATE INACTIVATED 1998-10-20 00:00:00
VA CODE V081200
reserved P674
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253125
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:49
    STATUS:   INACTIVE