Provider Demographics
NPI:1134119365
Name:ARCADIA THERAPY SERVICES OF ARIZONA, INC.
Entity Type:Organization
Organization Name:ARCADIA THERAPY SERVICES OF ARIZONA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-528-3450
Mailing Address - Street 1:60 E VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1337
Mailing Address - Country:US
Mailing Address - Phone:602-528-3450
Mailing Address - Fax:602-528-3439
Practice Address - Street 1:60 E VERNON AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1337
Practice Address - Country:US
Practice Address - Phone:602-528-3450
Practice Address - Fax:602-528-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1688251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health