Basic Information
| Provider Information | |||||||||
| NPI: | 1780636431 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ARC THERAPY SERVICES LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BROOKDALE HOME HEALTH AUSTIN | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 WESTWOOD PL | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152212250 | ||||||||
| FaxNumber: | 6152212280 | ||||||||
| Practice Location | |||||||||
| Address1: | 3636 EXECUTIVE CENTER DR | ||||||||
| Address2: | BLD 8, STE 216 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787311635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123721595 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 05/14/2020 | ||||||||
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| AuthorizedOfficialLastName: | EVANS | ||||||||
| AuthorizedOfficialFirstName: | DONNIS | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR, REGULATORY PRACTICES | ||||||||
| AuthorizedOfficialTelephone: | 6155648181 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 008036 | TX | Y | Agencies | Home Health |
No ID Information.