RAINBOW CENTER OF MICHIGAN
Managed Care Organizations in Detroit, MI

License number
Michigan 4703114372
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: PAULA DENISE COOK LPN
Title: NURSE
Phone: (313) 989-3743
Address
Address
12501 Hamilton Ave., Detroit, MI 48203
National Provider ID: 1346601838
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Rainbow Center of Michigan Inc

Berkley, MI  -  Detroit, MI

Industry:
Medical Doctor's Office
Doing business as:
Rainbow Center Michigan
Registration:
Dec 8, 2000
Phone:
(313) 865-1580 (Phone), (313) 865-1582 (Fax), (800) 385-7745 (Free)
Addresses:
PO Box 725098, Berkley, MI 48072
12501 Hamilton Ave, Detroit, MI 48203
State ID:
49926A
Business type:
Domestic Profit Corporation
Chief Executive Officer, Ba Asc:
Winnifred Griffin (Chief Executive Officer, Ba Asc)
Agent:
George Harriet Alexander

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