Organization Name: | RTA HOSPICE, INC. |
NPI Number: | 1659432243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY JAMES (CFO) |
Mailing Address: | 1025 W 24th St Ste 15 Yuma |
State: | AZ US |
Postal Code: | 853648366 |
Phone Number: | 9283446100 |
Fax Number: | 9283170311 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |