Organization
RAINBOW ROOF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE WOLF RN (REGISTERED NURSE)
(217) 622-7300
Entity
Organization
Contact information
Practice address
209 FLECK ST, DAWSON, IL 62520-3199
(217) 685-2332
(217) 960-8081
Mailing address
209 FLECK ST, DAWSON, IL 62520-3199
(217) 685-2332
(217) 960-8081
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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