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Organization

RHA HEALTH SERVICES NC, LLC

Active
Other names
PIEDMONT NON ICF
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER D LOZANO (DIRECTOR)
(404) 364-2900
Entity
Organization

Contact information

Practice address
211 ROSEMAN LN, CLEVELAND, NC 27013-9473
(404) 364-2900
(404) 364-2901
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
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20402
PIEDMONT NON ICF PROVIDER
NC
Enumeration date
03/22/2007
Last updated
09/19/2015
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