# RAINBOW VALLEY GROUP HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rainbow Valley Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417492117
- **Authorized official:** MS. MABEL EILEEN PATTEN MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (209) 722-0202

## Contact information

- **Practice address:** 3462 JOERG AVE, MERCED, CA 95340-0673
- **Practice address phone:** (209) 385-3382
- **Practice address fax:** (209) 385-3396
- **Mailing address:** 2841 G ST, MERCED, CA 95340-2133
- **Mailing address phone:** (209) 722-0202
- **Mailing address fax:** (209) 385-9921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 247202586 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017