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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1780574491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHA HEALTH SERVICES NC LLC

Provider Business Mailing Address
First Line	:	211 PERIMETER CENTER PKWY NE STE 750
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30346-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	483 S CREEK RD
Second Line	:
City	:	ORRUM
State	:	NC
Zip	:	28369-9269
Country	:	US
Telephone Number	:	800-848-0180
Fax Number	:

Authorized Official
Title or Position	:	SVP FINANCIAL SERVICES
Name	:	JENNIFER D LOZANO
Credential	:
Telephone Number	:	770-630-7290

Provider Enumeration Date	:	07/04/2025
Last Update Date	:	07/04/2025

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Directions to “RHA HEALTH SERVICES NC LLC ” Practice Location

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