Organization
RAINBOW HEALTH KARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NENG CHARLES VANG LSW (PRESIDENT)
(651) 292-9900
Entity
Organization
Contact information
Practice address
23 EMPIRE DR, SUITE 125, SAINT PAUL, MN 55103-1856
(651) 292-9900
(651) 292-9902
Mailing address
23 EMPIRE DR, SUITE 125, SAINT PAUL, MN 55103-1856
(651) 292-9900
(651) 292-9902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404L8RA
BLUECROSS BLUESHIELD
MN
01
—
58-00042
MEDICA
MN
Enumeration date
01/25/2008
Last updated
01/25/2008
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