Organization
RAINBOW SERVICES LLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART ALLEN PEPPER (MANAGING MEMBER)
(954) 532-5451
Entity
Organization
Contact information
Practice address
2940 N COURSE DR APT 501, POMPANO BEACH, FL 33069-3814
(954) 532-5451
Mailing address
2940 N COURSE DR APT 501, POMPANO BEACH, FL 33069-3814
(954) 532-5451
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233895
AHCA
FL
Enumeration date
05/30/2018
Last updated
05/30/2018
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