# DEPARTMENT OF VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1740295534
- **Authorized official:** SHIRLEY RETUTA SALOM-BAIL MSW, MSG (SUPERVISORY SOCIAL WORKER)
- **Authorized official phone:** (650) 493-5000

## Contact information

- **Practice address:** 795 WILLOW RD \# 11NH, DEPARTMENT OF VETERANS AFFAIRS, MENLO PARK, CA 94025-2539
- **Practice address phone:** (650) 493-5000
- **Practice address fax:** (650) 617-2616
- **Mailing address:** 795 WILLOW RD \# 11NH, DEPARTMENT OF VETERANS AFFAIRS, MENLO PARK, CA 94025-2539
- **Mailing address phone:** (650) 493-5000
- **Mailing address fax:** (650) 617-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | LCS 18306 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/08/2008