| Organization Name: | RTA HOSPICE, INC |
| NPI Number: | 1063653236 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY JAMES (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1255 Hancock Rd Suite 200 Bullhead City |
| State: | AZ US |
| Postal Code: | 864425907 |
| Phone Number: | 9287636433 |
| Fax Number: | 9287636437 |
| NPI Enumeration Date: | 03/17/2009 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |