# RAINBOW ADULT FAMILY HOME, INC.

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

## Provider details

- **NPI number:** 1770755142
- **Authorized official:** MR. ROBERT DONALD DURANTE NURSING ASSISTANT (SECRETARY/TREASURER)
- **Authorized official phone:** (360) 896-9417

## Contact information

- **Practice address:** 6001 NE 162ND AVE, VANCOUVER, WA 98682-5114
- **Practice address phone:** (360) 896-9417
- **Practice address fax:** (360) 896-9417
- **Mailing address:** 6001 NE 162ND AVE, VANCOUVER, WA 98682-5114
- **Mailing address phone:** (360) 896-9417
- **Mailing address fax:** (360) 896-9417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 208001 | WA | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 581710 | — | WA |