Provider Demographics
NPI:1578229977
Name:RAINBOW DEVELOPMENT CENTER, INC
Entity Type:Organization
Organization Name:RAINBOW DEVELOPMENT CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANISLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-443-2109
Mailing Address - Street 1:2749 EXCHANGE CT STE C
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-4038
Mailing Address - Country:US
Mailing Address - Phone:561-360-7355
Mailing Address - Fax:
Practice Address - Street 1:2749 EXCHANGE CT STE C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-4038
Practice Address - Country:US
Practice Address - Phone:561-360-7355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health