Provider Demographics
NPI:1760869507
Name:R&A ADULT CARE SERVICES,LLC
Entity Type:Organization
Organization Name:R&A ADULT CARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RODERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAXTON-GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:251-298-0232
Mailing Address - Street 1:1111 E I65 SERVICE RD S
Mailing Address - Street 2:SUITE A2
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3112
Mailing Address - Country:US
Mailing Address - Phone:251-298-0232
Mailing Address - Fax:
Practice Address - Street 1:1111 E I65 SERVICE RD S
Practice Address - Street 2:SUITE A2
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3112
Practice Address - Country:US
Practice Address - Phone:251-298-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health