Provider Demographics
NPI:1841409299
Name:RAINBOW SENIOR CENTER FOUNDATION INC.
Entity Type:Organization
Organization Name:RAINBOW SENIOR CENTER FOUNDATION INC.
Other - Org Name:RAINBOW SENIOR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-249-2114
Mailing Address - Street 1:17 OLD SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3414
Mailing Address - Country:US
Mailing Address - Phone:830-249-2114
Mailing Address - Fax:
Practice Address - Street 1:17 OLD SAN ANTONIO RD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3414
Practice Address - Country:US
Practice Address - Phone:830-249-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001001192332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals