Healthcare Provider Details

I. General information

NPI: 1144643271
Provider Name (Legal Business Name): ARC THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 05/14/2020
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 W NAPA ST STE B
SONOMA CA
95476-6437
US

IV. Provider business mailing address

111 WESTWOOD PL
BRENTWOOD TN
37027-5021
US

V. Phone/Fax

Practice location:
  • Phone: 707-939-8535
  • Fax:
Mailing address:
  • Phone: 615-221-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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