Organization
RAINBOW PLACE INC
Active
Other names
RAINBOW PLACE INC, RAINBOW PLACE INC
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MANTHIA WALTERS (ADMINSTRATOR/OWNER)
(954) 482-3360
Entity
Organization
Contact information
Practice address
522 S RAINBOW DR, HOLLYWOOD, FL 33021-7514
(954) 482-3360
Mailing address
522 S RAINBOW DR, HOLLYWOOD, FL 33021-7514
(954) 482-3360
(954) 894-1188
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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