Organization
OUR RAINBOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVIA REYNOLDS ROLLE (OWNER)
(305) 628-5384
Entity
Organization
Contact information
Practice address
16150 NW 40TH CT, OPA LOCKA, FL 33054-6262
(305) 628-5384
Mailing address
16150 NW 40TH CT, OPA LOCKA, FL 33054-6262
(305) 628-5384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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