Whalio Doctors

NPI 1174957138

Rainbow Community Support Services

Organisation Mental Illness Intermediate Care Facility Redford, MI

Practice location

Address
26847 Grand River Ave, Redford, MI 48240-1544
Phone
(313) 728-6437
Fax
(313) 334-4961
Mailing address
PO Box 47038, Oak Park, MI 48237-4738

Authorised official

Name
Joe S. Bradley
Title
President
Phone
(313) 728-6437

Registered specialties (2)

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X

Registry record

NPI
1174957138
Entity type
Organization
NPI issued
27 Aug 2013
Record last updated
27 Aug 2013

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.