Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
START RESPITE WEST
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO MBA, CPC-P (VP OF FINANCIAL SERVICES)
(404) 364-2900
Entity
Organization
Contact information
Practice address
303 SAINT ANDREWS RD, STATESVILLE, NC 28625-4658
(704) 380-2616
(704) 872-3651
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
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/24/2018
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