RAINBOW 66 STOREHOUSE, INC. is a home health in Laurinburg, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. RAINBOW 66 STOREHOUSE, INC. NPI is 1376625814. The provider is registered as an organization entity type.
The provider's business location address is:
525 ATKINSON ST
LAURINBURG, NC
ZIP 28352-715
Phone: (910) 276-0766
Fax: (910) 277-6295
The provider's authorized official is Kimmie C. Johnson .
The authorized official title is President and has the following contact phone number (910) 276-0766.
The CLIA number assigned to this NPI record is 34D2068863 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/20/2006 and was last updated on 3/31/2015.