Provider Demographics
NPI:1699167585
Name:RAINBOW CHILDREN'S MEDICAL DAY CARE LLC
Entity type:Organization
Organization Name:RAINBOW CHILDREN'S MEDICAL DAY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DASONDI
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:732-809-7214
Mailing Address - Street 1:100 YOUNGS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1025
Mailing Address - Country:US
Mailing Address - Phone:609-981-7575
Mailing Address - Fax:
Practice Address - Street 1:100 YOUNGS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1025
Practice Address - Country:US
Practice Address - Phone:609-981-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12037261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care