Organization
IMAGINARY RAINBOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHILY MESA ROMAN (CEO)
(786) 452-3145
Entity
Organization
Contact information
Practice address
407 WEKIVA SPRINGS RD STE 207-I, LONGWOOD, FL 32779-6096
(786) 452-3145
Mailing address
407 WEKIVA SPRINGS RD STE 207-I, LONGWOOD, FL 32779-6096
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/08/2019
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