Organization
RAPHA HEALTHCARE SERVICES,LLC
Active
Organization
RAPHA HEALTHCARE SERVICES,LLC
Active
Parent organization
RAPHA HEALTHCARE SERVICES,LLC
Other names
RAPHA Healthcare Services, LLC - Virginia
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAPHA HEALTHCARE SERVICES,LLC
Authorized official
SHARON R HALLIDAY LCAS, CCS (MANAGING MEMBER)
(919) 667-6679
Entity
Organization
Contact information
Practice address
4411 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 471-5474
(919) 471-5475
Mailing address
4411 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 471-5474
(919) 471-5475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316335128
—
NC
Enumeration date
07/14/2020
Last updated
07/14/2020
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