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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY RETUTA SALOM-BAIL MSW, MSG (SUPERVISORY SOCIAL WORKER)
(650) 493-5000
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LCS 18306
CA

Other

Enumeration date
07/30/2006
Last updated
08/08/2008
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