Provider Demographics
NPI:1447827720
Name:SIBLINGS RESIDENTIAL LLC
Entity type:Organization
Organization Name:SIBLINGS RESIDENTIAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MESKEREM
Authorized Official - Middle Name:LULSEGED
Authorized Official - Last Name:WENDAFRASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-224-6741
Mailing Address - Street 1:2531 PERCH LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5889
Mailing Address - Country:US
Mailing Address - Phone:571-224-6741
Mailing Address - Fax:
Practice Address - Street 1:12301 KAIN RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5722
Practice Address - Country:US
Practice Address - Phone:571-224-6741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health