# US DEPT OF VETERAN AFFAIRS

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

## Provider details

- **NPI number:** 1639547912
- **Authorized official:** MS. JANICE ELIZABETH THRON-KELLY LSW (SOCIAL WORKER)
- **Authorized official phone:** (928) 445-4860

## Contact information

- **Practice address:** 500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
- **Practice address phone:** (928) 445-4860
- **Mailing address:** 500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
- **Mailing address phone:** (928) 445-4860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | SW 011786L | PA | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015