Rainbow

NPI 1174919211 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1174919211
Enumeration Date 04/15/2015
Last Updated 04/15/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PAMELA PAMELA
Position LPN
Phone (313) 865-1580
Fax
Practice Location
12501 HAMILTON AVE
HIGHLAND PARK MI, 48203-3243, US
Phone (313) 865-1580
Fax
Business Location
12501 HAMILTON AVE
HIGHLAND PARK MI, 48203-3243, US
Phone
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Rainbow NPI is 1174919211, taxonomy code is 324500000X Rainbow physically located at 12501 Hamilton Ave, Highland Park MI, 48203-3243. NPI Number 1033115704 has the healthcare provider type.

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1174919211 NPI number is provided on an as is basis without warranty of any kind. 1174919211 is maintained by the National Plan & Provider Enumeration System. The contents of Rainbow are for informational purposes only.