# DEPARTMENT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518160191
- **Authorized official:** LINDA SUE HAYES (REGISTERED NURSE)
- **Authorized official phone:** (276) 676-0829

## Contact information

- **Practice address:** 19508 MCCRAY DR, ABINGDON, VA 24211-6838
- **Practice address phone:** (276) 676-0829
- **Mailing address:** 19508 MCCRAY DR, ABINGDON, VA 24211-6838
- **Mailing address phone:** (276) 676-0829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0001124615 | VA | Yes |

## Other

- **Enumeration date:** 06/09/2007
- **Last updated:** 08/22/2020