| Organization Name: | RAPHA RESIDENTIAL CARE |
| NPI Number: | 1619137114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MANSELL (ADMINISTRATOR) |
| Mailing Address: | 3959 Fish Hatchery Rd Gaston |
| State: | SC US |
| Postal Code: | 290539038 |
| Phone Number: | 8037556541 |
| Fax Number: | 8039550453 |
| NPI Enumeration Date: | 06/10/2008 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3104A0625X |
| License Number: | 1466-C06 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | Assisted Living, Mental Illness |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |