Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rout Thac

Individual provider Community/Behavioral Health Agency · NPI 1477259356

Rout Thac is a Community/Behavioral Health Agency in Laveen, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
3

Practice location Address checks out

4911 W Maldonado Rd
Laveen, AZ 85339-8217
Phone: (480) 275-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 3031899 (AZ)
Community/Behavioral Health Agency Taxonomy 251S00000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence SLH10481 (AZ)

Record details

NPI number1477259356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing address4911 W Maldonado Rd, Laveen, AZ 85339-8217

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