Organization Name: | RAINBOW DIALYSIS LLC |
NPI Number: | 1073888194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANN BARNES (REGIONAL PRESIDENT) |
Mailing Address: | 80 Mahalani St Ste 100 Wailuku |
State: | HI US |
Postal Code: | 967932531 |
Phone Number: | 8082980555 |
Fax Number: | 8086334884 |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |