Provider Demographics
NPI:1427196781
Name:RAPHA MINISTRIES, INC.
Entity Type:Organization
Organization Name:RAPHA MINISTRIES, INC.
Other - Org Name:RAPHA CHRISTIAN HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MATLOCK
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:256-538-7458
Mailing Address - Street 1:677 W COVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3370
Mailing Address - Country:US
Mailing Address - Phone:256-538-7458
Mailing Address - Fax:
Practice Address - Street 1:677 W COVINGTON AVE
Practice Address - Street 2:
Practice Address - City:ATTALLA
Practice Address - State:AL
Practice Address - Zip Code:35954-3370
Practice Address - Country:US
Practice Address - Phone:256-538-7458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility