Organization
GEMINI TRANSITIONAL HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BRANDY KIM (CEO)
(804) 295-4569
Entity
Organization
Contact information
Practice address
1803 OLD WILLIAMSBURG RD, SANDSTON, VA 23150-1815
(804) 295-4569
Mailing address
1803 OLD WILLIAMSBURG RD, SANDSTON, VA 23150-1815
(804) 295-4569
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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