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NPI Code Detail

MEDICARE: VEMA CORPORATION

MEDICARE: VEMA CORPORATION
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityBH4151AZ
2320800000XMental Illness Community Based Residential Treatment FacilityB4151AZ

General Provider Information

NPI Number : 1659713550
Entity Type Code : Organization
Provider Name (Legal Business Name) : VEMA CORPORATION
Provider Business Mailing Address
First Line : 3927 W CHOLLA ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-3813
Country : US
Telephone Number : 602-298-2540
Fax Number :
Provider Business Practice Location Address
First Line : 13602 N 44TH ST APT 156
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-6371
Country : US
Telephone Number : 602-298-2540
Fax Number :
Authorized Official
Title or Position : CEO
Name : RUDY VEGA
Credential :
Telephone Number : 602-298-2540
Provider Enumeration Date : 07/22/2013
Last Update Date : 11/07/2022

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Directions to “VEMA CORPORATION ” Practice Location

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