Organization
RAINBOW TREE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HAVERLY OT/L (OWNER)
(715) 205-2703
Entity
Organization
Contact information
Practice address
477 PERCH LAKE RD, HUDSON, WI 54016-6847
(715) 205-2703
Mailing address
477 PERCH LAKE RD, HUDSON, WI 54016-6847
(715) 205-2703
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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