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Organization
RHA NORTH CAROLINA MR, INC.
Active
Organization
RHA NORTH CAROLINA MR, INC.
Active
Other names
Lewis Fork II
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOZANO MBA, CPC-P (DIRECTOR OF REVENUE CYCLE)
(404) 968-2668
Entity
Organization
Contact information
Practice address
1388 LEWIS FORK BAPTIST CH RD, FERGUSON, NC 28624-9080
(336) 973-8151
Mailing address
1819 PEACHTREE RD NE, STE 450, ATLANTA, GA 30309-1848
(404) 364-2900
(404) 364-2901
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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