Department of Vetrans Affairs

NPI #1467600296 in Charleston, South Carolina

Provider Information

NPI Number: 1467600296
Entity Type: Organization
Organization Name: Department of Vetrans Affairs
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Sep 4, 2008
Last Updated: Sep 4, 2008

Practice Location

Address: 109 BEE ST
Address 2: 3625 RIVERS AVE SUITE2
City: Charleston
State: South Carolina
ZIP Code: 29401-5703
Phone: (843) 745-8637

Authorized Official

Name: MR. JAMES HOPKINS, SUPERVISOR
Title: PHARAMICST
Phone: (843) 745-8637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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