RAINBOW ADHC OF WALTHAM NPI 1801239397

NPI Information

RAINBOW ADHC OF WALTHAM is an adult day care clinic center in Waltham, MA. RAINBOW ADHC OF WALTHAM NPI is 1801239397. The provider is registered as an organization entity type.

The provider's business location address is:

411 WAVERLY OAK RD # 2, SUITE 214
WALTHAM, MA
ZIP 02452
Phone: (301) 370-4714

The provider's authorized official is Victoria Tsidulko .
The authorized official title is Owner and has the following contact phone number (301) 370-4714.

The CLIA number assigned to this NPI record is 22D2085469 - other - adult day health care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 6/13/2013.

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:

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