MEDICARE: RHA HEALTH SERVICES, INC.

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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1467692814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHA HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	3060 PEACHTREE RD NW
Second Line	:	SUITE 900
City	:	ATLANTA
State	:	GA
Zip	:	30305-2234
Country	:	US
Telephone Number	:	404-364-2900
Fax Number	:	404-364-2901

Provider Business Practice Location Address
First Line	:	824 GUM BRANCH RD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-6272
Country	:	US
Telephone Number	:	910-347-9990
Fax Number	:	910-347-1116

Authorized Official
Title or Position	:	VICE PRESIDENT - FINANCIAL SERVICES
Name	:	KAREN LYN ORSINI
Credential	:
Telephone Number	:	404-364-2900

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

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