Organization
VESTA INC
Active
Parent organization
VESTA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VESTA, INC.
Authorized official
MS. LORENA MEMBERG (DIRECTOR OF FINANCE)
(240) 296-6333
Entity
Organization
Contact information
Practice address
22685 THREE NOTCH RD STE 200, CALIFORNIA, MD 20619-3152
(301) 863-4543
(301) 863-4542
Mailing address
9301 ANNAPOLIS RD, SUITE 300, LANHAM, MD 20706-3115
(240) 296-5930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134419294
—
MD
05
—
260991610
—
MD
01
—
949L
MEDICARE
MD
Enumeration date
04/11/2011
Last updated
04/27/2023
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