Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
COUNTRY COVE 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
28 HILLPARK DR, HENDERSONVILLE, NC 28739-4714
(828) 877-4062
(828) 698-0627
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
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3436402
—
NC
Enumeration date
02/21/2007
Last updated
09/24/2018
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