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Organization
RAINBOW 66 STOREHOUSE, INC. DIVERSITY WITH DESTINY
Active
Organization
RAINBOW 66 STOREHOUSE, INC. DIVERSITY WITH DESTINY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMMIE BERNITA JOHNSON (CEO)
(910) 276-0766
Entity
Organization
Contact information
Practice address
525 ATKINSON ST, LAURINBURG, NC 28352-3715
(910) 276-0766
Mailing address
525 ATKINSON ST, LAURINBURG, NC 28352-3715
(910) 276-0766
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC2475
NC
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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