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GWENDOLYN WILKES RAINBOW CENTER

Adult Care Home

Columbus, Georgia

Provider NPI: 1215153770

Organization Information:
Organization Name:  GWENDOLYN WILKES RAINBOW CENTER


Practice Location:
2201 BUENA VISTA RD  COLUMBUS, GA 31906 US
Tel: 706-320-9012  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
GA

Other Provider Identifiers:

IssuerNumberStateType
00070132BGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS GA - Page 1



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