Organization
RAINBOW TRANSPORT SERVICE, LLC
Active
Parent organization
RAINBOW TRANSPORT SERVICE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAINBOW TRANSPORT SERVICE, LLC
Authorized official
MR. ALBERT V DURAN SR. (MANAGER)
(928) 757-7608
Entity
Organization
Contact information
Practice address
7644 E MONTE TESORO DR, KINGMAN, AZ 86401-9786
(928) 757-7608
(928) 757-7608
Mailing address
7644 E MONTE TESORO DR, KINGMAN, AZ 86401-9786
(928) 757-7608
(928) 757-7608
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L16106849
AZ
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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