Healthcare Provider Details

I. General information

NPI: 1790130490
Provider Name (Legal Business Name): RHIANNA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2016
Last Update Date: 05/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 23RD ST
DES MOINES IA
50310-6025
US

IV. Provider business mailing address

2014 23RD ST
DES MOINES IA
50310-6025
US

V. Phone/Fax

Practice location:
  • Phone: 678-790-6554
  • Fax:
Mailing address:
  • Phone: 678-790-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. RAGHAB KAFLEY
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 678-790-6554