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Organization

VESTA, INC.

Active
Parent organization
VESTA, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
VESTA, INC.
Authorized official
JIGNESH DALAL CPA (CEO)
(240) 296-6099
Entity
Organization

Contact information

Practice address
22 INDUSTRIAL PARK DR, SUITE A, WALDORF, MD 20602-2791
(240) 296-6030
(301) 638-9992
Mailing address
9301 ANNAPOLIS RD, SUITE 300, LANHAM, MD 20706-3115
(240) 296-5848

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260991608
MD
01
949L
MEDICARE
MD
Enumeration date
12/20/2007
Last updated
05/09/2013
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