Organization
GEMINI HOLDINGS, LLC
Active
Other names
Dove Healthcare - Rice Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY L DAVIDSON (CHIEF MANAGER)
(423) 910-1116
Entity
Organization
Contact information
Practice address
910 BEAR PAW AVE, RICE LAKE, WI 54868-1388
(715) 234-2604
Mailing address
7429 ROYAL HARBOUR CIR, OOLTEWAH, TN 37363-9151
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
04/13/2016
Last updated
07/28/2016
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