Organization
RAINBOW TRANSIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOTA HALL DE WILKS (CEO)
(703) 598-8620
Entity
Organization
Contact information
Practice address
299 WOODSTREAM BLVD, STAFFORD, VA 22556-4632
(703) 598-8620
Mailing address
299 WOODSTREAM BLVD, STAFFORD, VA 22556-4632
(703) 589-8620
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5691
—
VA
01
—
7891
NON PROFIT
VA
Enumeration date
02/13/2023
Last updated
02/13/2023
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