Healthcare Provider Details

I. General information

NPI: 1114031275
Provider Name (Legal Business Name): RAINBOW OF CHALLENGES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/07/2020
Certification Date: 01/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S MAIN ST
HOPE AR
71801-5206
US

IV. Provider business mailing address

PO BOX 1540
HOPE AR
71802-1540
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-4501
  • Fax: 870-777-8618
Mailing address:
  • Phone: 870-777-4501
  • Fax: 870-777-8618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberN/A
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUDY WATSON
Title or Position: CEO
Credential:
Phone: 870-777-4501