Healthcare Provider Details

I. General information

NPI: 1801303433
Provider Name (Legal Business Name): RHA HEALTH SERVICES TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9041 EXECUTIVE PARK DR STE 204
KNOXVILLE TN
37923-4609
US

IV. Provider business mailing address

1819 PEACHTREE RD NE STE 450
ATLANTA GA
30309-1853
US

V. Phone/Fax

Practice location:
  • Phone: 865-769-7491
  • Fax:
Mailing address:
  • Phone: 404-968-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LOZANO
Title or Position: VP, FINANCIAL SERVICES
Credential: MBA, CPC-P
Phone: 404-968-2663