Healthcare Provider Details

I. General information

NPI: 1609963552
Provider Name (Legal Business Name): DEPARTMENT OF VETERANS AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 W 6TH ST
EAST LIVERPOOL OH
43920-2812
US

IV. Provider business mailing address

332 W 6TH ST
EAST LIVERPOOL OH
43920-2812
US

V. Phone/Fax

Practice location:
  • Phone: 330-386-4303
  • Fax: 330-386-4485
Mailing address:
  • Phone: 330-386-4303
  • Fax: 330-386-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBIN KAY SEE
Title or Position: SOCIAL WORKER
Credential: MSW
Phone: 330-386-4303