NPI 1104176361

Rainbow Adult Child Family Services

Organisation Preferred Provider Organization N Las Vegas, NV

Practice location

Address: 5016 Blue Rose St, N Las Vegas, NV 89081-2676
Phone: (702) 666-1626
Mailing address: 5016 Blue Rose St., N. Las Vegas, NV 89081

Authorised official

Name: Chantell Laniece Davis
Title: Senior Office Manager
Phone: (702) 706-7855

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MIO195 (NV)

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Registry record

NPI: 1104176361
Entity type: Organization
NPI issued: 14 Sep 2012
Record last updated: 14 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.