Organization Name: | RTA HOSPICE, INC. |
NPI Number: | 1952589483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BRADLEY HUNTER (SENIOR VICE-PRESIDENT) |
Mailing Address: | 1225 Hancock Rd Suite 200 Bullhead City |
State: | AZ US |
Postal Code: | 864425948 |
Phone Number: | 9287636433 |
Fax Number: | 9287636437 |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 02/28/2008 |
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: |