Provider Demographics
NPI:1164677803
Name:RAINBOW REPAIR WHEELCHAIRS
Entity Type:Organization
Organization Name:RAINBOW REPAIR WHEELCHAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-881-9893
Mailing Address - Street 1:30 CARL GHILANI CIR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1678
Mailing Address - Country:US
Mailing Address - Phone:508-881-9893
Mailing Address - Fax:508-881-9893
Practice Address - Street 1:70 OAK ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1097
Practice Address - Country:US
Practice Address - Phone:508-881-9893
Practice Address - Fax:508-881-9893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health