Provider Demographics
NPI:1497407456
Name:RAPHA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RAPHA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-593-6036
Mailing Address - Street 1:233 12TH ST STE 745E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2587
Mailing Address - Country:US
Mailing Address - Phone:706-593-6036
Mailing Address - Fax:
Practice Address - Street 1:233 12TH ST STE 745E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2587
Practice Address - Country:US
Practice Address - Phone:706-593-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health