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GWENDOLYN WILKES RAINBOW CENTER NPI 1215153770


NPI Information

NPI: 1215153770
Provider Name: GWENDOLYN WILKES RAINBOW CENTER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
2201 BUENA VISTA RD
COLUMBUS, GA
ZIP 31906
Phone: (706) 320-9012
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GWENDOLYN WILKES RAINBOW CENTER is an adult care home custodial care facility in Columbus, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GWENDOLYN WILKES RAINBOW CENTER NPI is 1215153770. The provider is registered as an organization entity type.

The provider's business location address is:

2201 BUENA VISTA RD
COLUMBUS, GA
ZIP 31906-121
Phone: (706) 320-9012
Fax: (706) 320-9021

The provider's authorized official is Gloria A Rodgers .
The authorized official title is Coordinator and has the following contact phone number (706) 320-9012.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100070132BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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