Organization
RHA NORTH CAROLINA MR, INC.
Active
Other names
Lewis Fork II
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOZANO MBA, CPC-P (DIRECTOR OF REVENUE CYCLE)
(404) 968-2668
Entity
Organization
Contact information
Practice address
1388 LEWIS FORK BAPTIST CH RD, FERGUSON, NC 28624-9080
(336) 973-8151
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
Enumeration date
08/20/2015
Last updated
08/20/2015
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