Organization
RAINBOW HOUSE ICFDDH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVINIA A BURUGA (CARE PROVIDER)
(714) 776-0521
Entity
Organization
Contact information
Practice address
1825 W CRIS AVE, ANAHEIM, CA 92804-6110
(714) 776-0521
(714) 776-0521
Mailing address
1825 W CRIS AVE, ANAHEIM, CA 92804-6110
(714) 776-0521
(714) 776-0521
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
060000514
CA
Other
Enumeration date
04/24/2007
Last updated
08/18/2008
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