Provider Demographics
NPI:1417523671
Name:RUTLAND HOSPICE, INC
Entity Type:Organization
Organization Name:RUTLAND HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY/BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBOUET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-724-9175
Mailing Address - Street 1:21900 BURBANK BLVD STE 3088
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6469
Mailing Address - Country:US
Mailing Address - Phone:818-724-9175
Mailing Address - Fax:818-868-8064
Practice Address - Street 1:21900 BURBANK BLVD STE 3088
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6469
Practice Address - Country:US
Practice Address - Phone:818-724-9175
Practice Address - Fax:818-868-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based