Organization
RAINBOW OMEGA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M STENTSON CARPENTER (CEO)
(256) 831-0919
Entity
Organization
Contact information
Practice address
100 HOPE DR, EASTABOGA, AL 36260-7363
(256) 831-0919
(256) 831-0942
Mailing address
PO BOX 740, EASTABOGA, AL 36260-0740
(256) 831-0919
(256) 831-0942
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4958170I
—
AL
Enumeration date
11/06/2006
Last updated
08/22/2020
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