| Siblings Residential Llc | |
|
12301 Kain Rd Glen Allen VA 23059-5722 | |
| (571) 224-6741 | |
| Not Available |
| Full Name | Siblings Residential Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 12301 Kain Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Meskerem Lulseged Wendafrash (OWNER) |
| Authorized Official Contact | 5712246741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siblings Residential Llc 2531 Perch Ln Glen Allen VA 23060-5889 Ph: (571) 224-6741 | Siblings Residential Llc 12301 Kain Rd Glen Allen VA 23059-5722 Ph: (571) 224-6741 |
| NPI Number | 1447827720 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447827720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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