MEDICARE: RAINBOW DEVELOPMENT CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1578229977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINBOW DEVELOPMENT CENTER, INC

Provider Business Mailing Address
First Line	:	2749 EXCHANGE CT STE C
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4038
Country	:	US
Telephone Number	:	561-360-7355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2749 EXCHANGE CT STE C
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4038
Country	:	US
Telephone Number	:	561-360-7355
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANISLEY RUBIE
Credential	:
Telephone Number	:	786-443-2109

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	11/10/2021

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