Organization
RHA HEALH SERVICES NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
(404) 968-2663
Entity
Organization
Contact information
Practice address
500 SEAN DR, GREENVILLE, NC 27834-7839
(252) 758-1101
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
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-074-030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7907634
—
NC
Enumeration date
01/19/2007
Last updated
10/01/2015
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