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NPI 1114705597

NPI 1114705597 : RAINBOW CARE AT HOME, INC. : GLASSBORO, NJ

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General NPI Number Information
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    NPI Number           |    1114705597
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAINBOW CARE AT HOME, INC. 
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Dates
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    Enumeration Date     |    09/18/2023
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    Last Update Date     |    09/18/2023
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Provider Practice Location Address
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    Address Line         |    601 N MAIN ST STE B 
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    City                 |    GLASSBORO
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    State                |    NJ
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    Zip                  |    08028-1637
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    Country              |    US
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    Telephone            |    267-808-7477
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    338 GLEN MEADOW RD 
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    City                 |    RICHBORO
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    State                |    PA
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    Zip                  |    18954-1622
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    Country              |    US
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    Telephone            |    267-808-7477
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    Fax                  |    732-446-4131
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     REGINA  GALINSKY 
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    Credential           |    
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    Telephone            |    267-808-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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