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Organization

RAINBOW ADULT FAMILY HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT DONALD DURANTE NURSING ASSISTANT (SECRETARY/TREASURER)
(360) 896-9417
Entity
Organization

Contact information

Practice address
6001 NE 162ND AVE, VANCOUVER, WA 98682-5114
(360) 896-9417
(360) 896-9417
Mailing address
6001 NE 162ND AVE, VANCOUVER, WA 98682-5114
(360) 896-9417
(360) 896-9417

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
208001
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
581710
WA
Enumeration date
03/26/2008
Last updated
03/26/2008
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