Organization Name: | RHA HEALTH SERVICES TN, LLC |
NPI Number: | 1528437282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE ADDISON (COO) |
Mailing Address: | 361 Oakfield Rd Oakfield |
State: | TN US |
Postal Code: | 383629707 |
Phone Number: | 7318550537 |
Fax Number: | 7318551257 |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | L000000012745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |