Rainbow Adult Child Family Services

NPI 1104176361 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1104176361
Enumeration Date 09/14/2012
Last Updated 09/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHANTELL LANIECE CHANTELL
Position SENIOR OFFICE MANAGER
Phone (702) 666-1626
Fax
Practice Location
5016 BLUE ROSE ST
N LAS VEGAS NV, 89081-2676, US
Phone (702) 666-1626
Fax
Business Location
5016 BLUE ROSE ST.
N. LAS VEGAS NV, 89081, US
Phone (702) 666-1626
Fax
Toxanomy
Taxonomy Code 305R00000X
License State Nevada
License Number MIO195
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According to our database, Rainbow Adult Child Family Services NPI is 1104176361, taxonomy code is 305R00000X and license number is MIO195, license state is located at Nevada. Rainbow Adult Child Family Services physically located at 5016 Blue Rose St, N Las Vegas NV, 89081-2676. NPI Number 1033115704 has the healthcare provider type.

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1104176361 NPI number is provided on an as is basis without warranty of any kind. 1104176361 is maintained by the National Plan & Provider Enumeration System. The contents of Rainbow Adult Child Family Services are for informational purposes only.