MEDICARE: WEMA HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922705912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEMA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	31235 N SUNDOWN DR
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-3241
Country	:	US
Telephone Number	:	480-336-2102
Fax Number	:	480-297-0918

Provider Business Practice Location Address
First Line	:	31235 N SUNDOWN DR
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-3241
Country	:	US
Telephone Number	:	480-336-2102
Fax Number	:	480-297-0918

Authorized Official
Title or Position	:	HOUSE MANAGER
Name	:	AMOS WAMWEYA
Credential	:
Telephone Number	:	480-336-2102

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	02/10/2023

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Directions to “WEMA HEALTH SERVICES LLC ” Practice Location

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