Provider Demographics
NPI:1548548704
Name:RAINBOW OF HOWARD COUNTY, LLC
Entity type:Organization
Organization Name:RAINBOW OF HOWARD COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-847-0004
Mailing Address - Street 1:7277 EDEN BROOK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1497
Mailing Address - Country:US
Mailing Address - Phone:410-381-9293
Mailing Address - Fax:410-381-8403
Practice Address - Street 1:7277 EDEN BROOK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1497
Practice Address - Country:US
Practice Address - Phone:410-381-9293
Practice Address - Fax:410-381-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care