# RHA HEALTH SERVICES NC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevins 3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689738460
- **Authorized official:** JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (404) 968-2663

## Contact information

- **Practice address:** 3829 NEVIN RD, CHARLOTTE, NC 28269-4357
- **Practice address phone:** (704) 596-7592
- **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 |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-060-139 | NC | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | MHL-060-139 | NC | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804986 | — | NC |