Healthcare Provider Details

I. General information

NPI: 1538389036
Provider Name (Legal Business Name): ARC THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 W FRYE RD STE 10A
CHANDLER AZ
85224-6273
US

IV. Provider business mailing address

111 WESTWOOD PL STE 400
BRENTWOOD TN
37027-5021
US

V. Phone/Fax

Practice location:
  • Phone: 480-268-9327
  • Fax: 480-459-5235
Mailing address:
  • Phone: 615-221-2250
  • Fax: 615-221-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA4274
License Number StateAZ

VIII. Authorized Official

Name: DONNIS M. EVANS
Title or Position: MANAGER, REGULATORY PRACTICES
Credential:
Phone: 615-564-8181