Organization
RAINBOW TREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTA BUTLER MA (PRESIDENT)
(704) 281-4516
Entity
Organization
Contact information
Practice address
332 SIGNAL HILL ROAD, HENDERSON, NC 28792
(704) 281-4516
Mailing address
PO BOX 336, PINEVILLE, NC 28134-0336
(704) 281-4516
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418695
—
NC
Enumeration date
10/26/2010
Last updated
10/26/2010
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