Organization
RAINBOW OF LOVE III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GRAVES (OWNER)
(336) 570-2990
Entity
Organization
Contact information
Practice address
2856 ANDERSON RD, BURLINGTON, NC 27217-9105
(336) 567-0030
(336) 570-0030
Mailing address
2856 ANDERSON RD, BURLINGTON, NC 27217-9105
(336) 567-0030
(336) 570-0030
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005526
—
NC
Enumeration date
03/30/2007
Last updated
08/22/2020
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