Organization
RAINBOW CENTER OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA DENISE COOK LPN (NURSE)
(313) 989-3743
Entity
Organization
Contact information
Practice address
12501 HAMILTON AVE., HIGHLAND PARK, MI 48203
(313) 989-3743
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 989-3743
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4703114372
MI
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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