Organization Name: | GEMINICARES, INC. |
NPI Number: | 1447407705 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLE ANN PETRILLI (CONTROLLER) |
Mailing Address: | 840 Enterprise Drive Slinger |
State: | WI US |
Postal Code: | 530860230 |
Phone Number: | 2627447480 |
Fax Number: | 2626447481 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |