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Organization
RHA HEALTH SERVICES NC, LLC
Active
Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
WAKULA I & II
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
(404) 364-2900
Entity
Organization
Contact information
Practice address
5792 HIGHWAY 71 NORTH, MAXTON, NC 28364-9384
(910) 844-9664
(910) 844-9668
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416529
—
NC
Enumeration date
02/22/2007
Last updated
09/24/2018
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