Other Service (510) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Other Service
CLASSIFICATION
Other (as specified)
STATUS
Inactive
DATE INACTIVATED
1998-10-20 00:00:00
VA CODE
V081300
reserved
A,
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253128
EFFECTIVE DATE/TIME
2018-04-02 15:35:58
STATUS: INACTIVE
