Healthcare Provider Details

I. General information

NPI: 1134119365
Provider Name (Legal Business Name): ARCADIA THERAPY SERVICES OF ARIZONA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E VERNON AVE
PHOENIX AZ
85004-1337
US

IV. Provider business mailing address

60 E VERNON AVE
PHOENIX AZ
85004-1337
US

V. Phone/Fax

Practice location:
  • Phone: 602-528-3450
  • Fax: 602-528-3439
Mailing address:
  • Phone: 602-528-3450
  • Fax: 602-528-3439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1688
License Number StateAZ

VIII. Authorized Official

Name: MR. TIMOTHY LEO RICE
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 602-528-3450