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General NPI Number Information
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NPI Number | 1407502727
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Entity Type | Organization
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Legal Business Name | WEMA HOMES LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1133 E HEATHER DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-5678
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Country | US
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Telephone | 480-324-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 E HEATHER DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-5678
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Country | US
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Telephone | 480-324-6999
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Fax |
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Authorized Official
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Title or Position | HOUSE MANAGER
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Name | MISS EYVON G KANYUA
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Credential | ADIMINISTER
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Telephone | 480-324-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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Taxonomy #6
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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