| Vesta, Inc. | |
|
9301 Annapolis Rd Lanham MD 20706-3115 | |
| (240) 296-1379 | |
| Not Available |
| Full Name | Vesta, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9301 Annapolis Rd, Lanham, Maryland |
| Authorized Official Name and Position | Suk-ching Au-yeung (REVENUE MANAGER) |
| Authorized Official Contact | 2402961379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vesta, Inc. 9301 Annapolis Rd Ste 300 Lanham MD 20706-3125 Ph: (240) 296-1379 | Vesta, Inc. 9301 Annapolis Rd Lanham MD 20706-3115 Ph: (240) 296-1379 |
| NPI Number | 1598306516 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598306516 | NPI | - | NPPES |
| 260991601 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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