Provider Demographics
NPI:1053781179
Name:RHA HEALTH SERVICES TN, LLC
Entity type:Organization
Organization Name:RHA HEALTH SERVICES TN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-968-2663
Mailing Address - Street 1:211 PERIMETER CENTER PKWY NE STE 750
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1318
Mailing Address - Country:US
Mailing Address - Phone:770-630-7290
Mailing Address - Fax:404-364-2901
Practice Address - Street 1:3610 SULPHUR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5884
Practice Address - Country:US
Practice Address - Phone:615-895-7788
Practice Address - Fax:615-895-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000012147320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities