Organization
RTA HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
1789 W COMMERCE DRIVE, LAKESIDE, AZ 85929-5354
(928) 368-4400
(928) 368-4424
Mailing address
10 CADILLAC DR, SUITE 400, BRENTWOOD, TN 37027-5078
(615) 425-5407
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579906
—
AZ
Enumeration date
07/04/2006
Last updated
03/07/2022
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