Organization
RAINBOW OF SUNSHINE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA INGRAM (OWNER)
(910) 527-3083
Entity
Organization
Contact information
Practice address
307 CEDARWOOD ST, SPRING LAKE, NC 28390-2254
(910) 527-3083
(910) 868-3788
Mailing address
307 CEDARWOOD ST, SPRING LAKE, NC 28390-2254
(910) 527-3083
(910) 868-3788
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805621
—
NC
Enumeration date
02/24/2010
Last updated
02/24/2010
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