RHA HEALTH SERVICES NC LLC NPI 1700167434

NPI Information

RHA HEALTH SERVICES NC, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RHA HEALTH SERVICES NC, LLC NPI is 1700167434. The provider is registered as an organization entity type.
The provider Other Name Is Lake Brandt.

The provider's business location address is:

6184 LAKE BRANDT RD
GREENSBORO, NC
ZIP 27455-234
Phone: (336) 643-3300
Fax: (336) 885-5092

The provider's authorized official is Jennifer D Lozano .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (404) 364-2900.

The CLIA number assigned to this NPI record is 34D2245160 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 9/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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