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
