Organization
REIGN-BOW HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI DAVIS (ADMIN)
(773) 573-8587
Entity
Organization
Contact information
Practice address
55 W 22ND ST, LOMBARD, IL 60148-4854
(773) 573-8587
Mailing address
55 W 22ND ST, LOMBARD, IL 60148-4854
(773) 573-8587
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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