Organization
VESTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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 20706-3125
(240) 296-5848
(301) 459-9110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1475
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255622981
NPPES
MD
05
—
127504604
—
MD
01
—
949L
MEDICARE
MD
Enumeration date
04/28/2011
Last updated
04/27/2023
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