# RHA HEALTH SERVICES NC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BONNIE LANE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518002039
- **Authorized official:** JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (404) 364-2900

## Contact information

- **Practice address:** 121 BONNIE LN, STATESVILLE, NC 28625-8989
- **Practice address phone:** (704) 872-3257
- **Practice address fax:** (704) 872-3651
- **Mailing address:** 1819 PEACHTREE RD NE, STE 450, ATLANTA, GA 30309-1848
- **Mailing address phone:** (404) 364-2900
- **Mailing address fax:** (404) 364-2901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 09/16/2015