Organization
RAINBOW ADULT CHILD FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTELL LANIECE DAVIS (SENIOR OFFICE MANAGER)
(702) 706-7855
Entity
Organization
Contact information
Practice address
5016 BLUE ROSE ST, N LAS VEGAS, NV 89081-2676
(702) 666-1626
Mailing address
5016 BLUE ROSE ST., N. LAS VEGAS, NV 89081
(702) 666-1626
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MIO195
NV
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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