Provider Demographics
NPI:1588353098
Name:RHABA HEALTH LLC
Entity type:Organization
Organization Name:RHABA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOKUM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-593-3792
Mailing Address - Street 1:1512 LAKSPUR CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639
Mailing Address - Country:US
Mailing Address - Phone:240-593-3792
Mailing Address - Fax:
Practice Address - Street 1:6305 IVY LN STE 260
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6372
Practice Address - Country:US
Practice Address - Phone:240-593-3792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center