Basic Information
Provider Information
NPI: 1760953558
EntityType: 2
ReplacementNPI:  
OrganizationName: RPA HEALTHCARE, LLC
LastName:  
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Credential:  
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Mailing Information
Address1: 141 ARTHUR MAJETTE ROAD
Address2:  
City: AULANDER
State: NC
PostalCode: 27805
CountryCode: US
TelephoneNumber: 2523322292
FaxNumber: 2523322290
Practice Location
Address1: 240 S EARLY STATION RD
Address2:  
City: AHOSKIE
State: NC
PostalCode: 279109378
CountryCode: US
TelephoneNumber: 2523324681
FaxNumber: 2523329928
Other Information
ProviderEnumerationDate: 12/06/2018
LastUpdateDate: 12/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ARMSTRONG
AuthorizedOfficialFirstName: PAULA
AuthorizedOfficialMiddleName: GRUNAWALT
AuthorizedOfficialTitleorPosition: MANAGING MEMBER
AuthorizedOfficialTelephone: 2528625665
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
310400000X  Y Nursing & Custodial Care FacilitiesAssisted Living Facility 

No ID Information.


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