Provider Demographics
NPI:1134727316
Name:VETERAN HOUSING OF AMERICA
Entity type:Organization
Organization Name:VETERAN HOUSING OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-525-7546
Mailing Address - Street 1:609 JONES ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-4865
Mailing Address - Country:US
Mailing Address - Phone:443-525-7546
Mailing Address - Fax:
Practice Address - Street 1:609 JONES ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-4865
Practice Address - Country:US
Practice Address - Phone:443-525-7546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No177F00000XOther Service ProvidersLodging
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities