# RAINBOW RIDGE\#2&\#3,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609146109
- **Authorized official:** MRS. CAROL JEAN BRASWELL HOME PROVIDER (MANAGER/OWNER)
- **Authorized official phone:** (478) 289-9000

## Contact information

- **Practice address:** 181 RAINBOW RDG, SWAINSBORO, GA 30401-4413
- **Practice address phone:** (478) 289-9000
- **Practice address fax:** (478) 289-6945
- **Mailing address:** 181 RAINBOW RDG, SWAINSBORO, GA 30401-4413
- **Mailing address phone:** (478) 289-9000
- **Mailing address fax:** (478) 289-6945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 053010291 | GA | Yes |

## Other

- **Enumeration date:** 12/31/2011
- **Last updated:** 12/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 018090102A | — | GA |