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NPI Code Detail

MEDICARE: RHA HEALTH SERVICES NC, LLC

MEDICARE: RHA HEALTH SERVICES NC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760527238
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHA HEALTH SERVICES NC, LLC
Provider Business Mailing Address
First Line : 1819 PEACHTREE RD NE
Second Line : STE 450
City : ATLANTA
State : GA
Zip : 30309-1848
Country : US
Telephone Number : 404-364-2900
Fax Number : 404-364-2901
Provider Business Practice Location Address
First Line : 105 PARK AVE
Second Line :
City : CREEDMOOR
State : NC
Zip : 27522-9751
Country : US
Telephone Number : 919-528-2558
Fax Number : 919-528-2971
Authorized Official
Title or Position : DIRECTOR OF REVENUE CYCLE
Name : JENNIFER D LOZANO
Credential :
Telephone Number : 404-364-2900
Provider Enumeration Date : 02/21/2007
Last Update Date : 09/16/2015

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Directions to “RHA HEALTH SERVICES NC, LLC ” Practice Location

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