Name | Value |
---|---|
PROVIDER TYPE | Ambulatory Health Care Facilities |
CLASSIFICATION | Clinic/Center |
AREA OF SPECIALIZATION | Adult Day Care |
STATUS | Active |
X12 CODE | 261QA0600X |
INDIVIDUAL/NON | NON-INDIVIDUAL |
MASTER ENTRY FOR VUID | YES |
VUID | 5252114 |
EFFECTIVE DATE/TIME |
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