Organization
GEMINI GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEITCHMAN (MANAGER)
(480) 455-7975
Entity
Organization
Contact information
Practice address
5045 E PARADISE LN, SCOTTSDALE, AZ 85254-1045
(602) 494-7101
Mailing address
PO BOX 1213, CAREFREE, AZ 85377-1213
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438403
—
AZ
Enumeration date
12/03/2019
Last updated
12/03/2019
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