Provider Demographics
NPI:1356034201
Name:DEH VEALAGE LLC
Entity type:Organization
Organization Name:DEH VEALAGE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMANDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:VEAL
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:862-203-1246
Mailing Address - Street 1:8 PLANTEN AVE # 2
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2109
Mailing Address - Country:US
Mailing Address - Phone:862-203-1246
Mailing Address - Fax:973-807-9423
Practice Address - Street 1:8 PLANTEN AVE # 2
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:NJ
Practice Address - Zip Code:07508-2109
Practice Address - Country:US
Practice Address - Phone:862-203-1246
Practice Address - Fax:973-807-9423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle