Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
HOLLOWAY STREET HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JENNFER D LOZANO (DIRECTOR OF REVENUE CYCLE)
(404) 364-2900
Entity
Organization
Contact information
Practice address
4795 STANLEY RD, DURHAM, NC 27704-9604
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416112
—
NC
Enumeration date
02/21/2007
Last updated
10/23/2015
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