Organization
RAINBOW MEDICAL TRANSPORTATION LLC
Active
Other names
Rainbow Trans
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTAYEB AISSA ABDALLA (OWNER)
(602) 486-8998
Entity
Organization
Contact information
Practice address
2425 NAVAJO BOULEVARD, HOLBROOK, AZ 86025
(928) 524-1086
(602) 207-8387
Mailing address
2502 EAST UNIVERSITY DRIVE, SUITE 205, PHOENIX, AZ 85034
(928) 524-1086
(602) 207-8387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702733
—
AZ
Enumeration date
09/07/2012
Last updated
07/31/2020
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