- Enrollment id
- O20051005000887
- Enrollment state
- OK
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1831242916
- Multiple npi flag
- N
- Ccn
- 377630
- Associate id
- 6507891884
- Organization name
- RAINBOW HOME HEALTH, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 400 SW C STREET
- Address line 2
- SUITE B
- City
- ANTLERS
- State
- OK
- Zip code
- 745239739