| NPI | 1972732824 |
|---|---|
| Doing Business As | RAINBOW PARK HOME |
| Entity Type | Organization |
| Authorized Contact | DAWN E. KENNISON Administrator/Owner 414-364-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |