=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184930190
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | V.E.W.ENTERPRISE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2010
-----------------------------------------------------
Last Update Date | 08/27/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 522 AMIGOS SUITE D
-----------------------------------------------------
City | REDLANDS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92374
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-792-5757
-----------------------------------------------------
Fax | 909-792-5775
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 658
-----------------------------------------------------
City | HIGHLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-792-5757
-----------------------------------------------------
Fax | 909-792-5775
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | TINA EYRAUD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-792-5757
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------