Provider Demographics
NPI:1548719396
Name:CVO HOME FOR FEMALE VETERANS INC
Entity type:Organization
Organization Name:CVO HOME FOR FEMALE VETERANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-431-6353
Mailing Address - Street 1:93 BARRETTS AVE
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-2114
Mailing Address - Country:US
Mailing Address - Phone:631-758-2753
Mailing Address - Fax:631-475-8819
Practice Address - Street 1:93 BARRETTS AVE
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-2114
Practice Address - Country:US
Practice Address - Phone:631-758-2753
Practice Address - Fax:631-475-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility