Provider Demographics
NPI:1205579521
Name:RAPHA INC
Entity type:Organization
Organization Name:RAPHA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLASENI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBASANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-573-0358
Mailing Address - Street 1:70 IBERIS LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2324
Mailing Address - Country:US
Mailing Address - Phone:732-573-0358
Mailing Address - Fax:732-573-0359
Practice Address - Street 1:211 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ISLAND HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08732-7730
Practice Address - Country:US
Practice Address - Phone:732-573-0358
Practice Address - Fax:732-573-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care