24D2268041 CLIA NUMBER - RAPHA HEALTH CARE SERVICES

Laboratory Demographics

CLIA Number: 24D2268041

Facility Name: RAPHA HEALTH CARE SERVICES

Facility Address:
281 CESAR CHAVEZ ST
SAINT PAUL, MN
ZIP 55107
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Facility Phone Number: 612 701-3760

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1215425616

Taxonomy: 3104A0625X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

CLIA Record

Field Name	Field Value
CLIA Number	24D2268041
LAB Type	Assisted Living Facility
Facility Name	RAPHA HEALTH CARE SERVICES
Street	281 CESAR CHAVEZ ST
City	SAINT PAUL
State	MN
ZIP	55107
Phone	612 701-3760
CertificateType	4
CertificateEffectiveDate	9/6/2022
CertificateExpirationDate	9/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024