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Rha Health Services Nc, LLC

Intermediate Care Facility, Intellectual Disabilities in Fayetteville, NC. Organization (NPI-2).

NPI number1487799151
StatusActive
Last updated in NPPESSep 16, 2015

Details

NPI
1487799151
Entity type
Organization (NPI-2)
Legal business name
Rha Health Services Nc, LLC
Organization subpart
No
Enumeration date
Feb 21, 2007
Last updated
Sep 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities––Yes

Other names

  • Southern Avenue (Other Name)

Practice location

2001 Southern Ave
Fayetteville, NC 28306-1757

Phone 910-424-2121 · Fax 910-424-7045

Mailing address

1819 Peachtree Rd Ne
Ste 450
Atlanta, GA 30309-1848

Phone 404-364-2900 · Fax 404-364-2901

Authorized official

Jennifer D Lozano
Director Of Revenue Cycle
4043642900

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Other Intellectual Disabilities Intermediate Care Facility providers in Fayetteville, NC

All 15 Intellectual Disabilities Intermediate Care Facility providers in Fayetteville · All 9,765 providers in Fayetteville

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