Provider Demographics
NPI:1124499165
Name:VETERAN'S ADMIN
Entity type:Organization
Organization Name:VETERAN'S ADMIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:KARLYNE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KONCZAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:828-776-9500
Mailing Address - Street 1:6 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1602
Mailing Address - Country:US
Mailing Address - Phone:828-776-9500
Mailing Address - Fax:
Practice Address - Street 1:6 BIRCH ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1602
Practice Address - Country:US
Practice Address - Phone:828-776-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness