# VETERANS ADMINSTRATION

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

## Provider details

- **NPI number:** 1700993326
- **Authorized official:** MRS. GLORIA GRACE HARRACKSINGH RN (CHARGE NORSE)
- **Authorized official phone:** (401) 417-1765

## Contact information

- **Practice address:** VETERANS ADMINISTRATION, 1670 CLAIRMONT RD, DECATUR, GA 30033
- **Practice address phone:** (404) 417-1765
- **Practice address fax:** (404) 417-1770
- **Mailing address:** 5450 MOUNTAIN TRL, DOUGLASVILLE, DOUGLASVILLE, GA 30135-1246
- **Mailing address phone:** (404) 417-1765
- **Mailing address fax:** (404) 417-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 215470 | NY | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020