MEDICARE: VMAE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1043741002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VMAE CORP

Provider Business Mailing Address
First Line	:	2701 N RAINBOW BLVD APT 2149
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-7109
Country	:	US
Telephone Number	:	702-772-6652
Fax Number	:

Provider Business Practice Location Address
First Line	:	5276 DAKOTAH POINTE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3411
Country	:	US
Telephone Number	:	702-506-7846
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MS. YAMINA KHAMEELAH JONES
Credential	:
Telephone Number	:	702-772-6652

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	03/22/2017

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Directions to “VMAE CORP ” Practice Location

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