Provider Demographics
NPI:1003055112
Name:ARCADIA HEALTHCARE
Entity Type:Organization
Organization Name:ARCADIA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:TORDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-527-9008
Mailing Address - Street 1:2057 FOREST AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928
Mailing Address - Country:US
Mailing Address - Phone:530-527-9008
Mailing Address - Fax:
Practice Address - Street 1:2057 FOREST AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7627
Practice Address - Country:US
Practice Address - Phone:530-527-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN162073251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care