34D2283086 CLIA NUMBER - RHA HEALTH SERVICES, LLC - MOSS LANE 2

Laboratory Demographics

CLIA Number: 34D2283086

Facility Name: RHA HEALTH SERVICES, LLC - MOSS LANE 2

Facility Address:
42414 MOSS LANE
NEW LONDON, NC
ZIP 28127
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Facility Phone Number: 704 986-4118

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1639760515

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2283086
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA HEALTH SERVICES, LLC - MOSS LANE 2
Street	42414 MOSS LANE
City	NEW LONDON
State	NC
ZIP	28127
Phone	704 986-4118
CertificateType	4
CertificateEffectiveDate	6/1/2023
CertificateExpirationDate	5/31/2025
FacilityType	Waiver

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