Provider Demographics
NPI:1023584331
Name:RHA HEALTH SERVICES TN LLC
Entity type:Organization
Organization Name:RHA HEALTH SERVICES TN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCIAL SVCS
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:404-968-2663
Mailing Address - Fax:
Practice Address - Street 1:9041 EXECUTIVE PARK DR STE 705
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4621
Practice Address - Country:US
Practice Address - Phone:895-769-7491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health