Organization
RHA HEALTH SERVICES NC LLC
Active
Other names
ELM STREET
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO (SVP FINANCIAL SERVICES)
(770) 630-7290
Entity
Organization
Contact information
Practice address
500 SAINT ST, DUNN, NC 28334-8433
(919) 894-5124
(919) 894-1488
Mailing address
3060 PEACHTREE RD NW, SUITE 900, ATLANTA, GA 30305-2234
(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
05
—
7803254
—
NC
Enumeration date
02/23/2007
Last updated
09/25/2023
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