Organization
RAINBOW GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY CALLUM (OWNER/ADMINISTRATOR)
(321) 303-6126
Entity
Organization
Contact information
Practice address
1288 CARDINAL CT, ALTAMONTE SPRINGS, FL 32714-1101
(321) 303-6126
Mailing address
PO BOX 160037, ALTAMONTE SPRINGS, FL 32716-0037
(321) 303-6126
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690663039
—
FL
Enumeration date
01/24/2022
Last updated
01/24/2022
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