Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
GRANVILLE ICFMR GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
(404) 364-2900
Entity
Organization
Contact information
Practice address
5509 DORSEY RD, OXFORD, NC 27565-8309
(919) 528-2558
(919) 528-2971
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
06/28/2007
Last updated
09/16/2015
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