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Organization

DEPT OF VETERAN AFFAIRS

Active
Other names
VA Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LEE SMITH (SOCIAL WORKER)
(304) 263-0811
Entity
Organization

Contact information

Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
BP00941695
WV

Other

Enumeration date
08/10/2012
Last updated
08/10/2012
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