Organization
RAINBOW CENTER OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE CUNNINGHAM L.P.N. (NURSE)
(248) 508-3864
Entity
Organization
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1850
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1850
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4703094052
MI
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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