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Eminence Healthcare, INC.

Clinic/Center, Rehabilitation, Substance Use Disorder in Dixon, CA. Organization (NPI-2).

NPI number1760615728
StatusActive
Last updated in NPPESJul 7, 2011

Details

NPI
1760615728
Entity type
Organization (NPI-2)
Legal business name
Eminence Healthcare, INC.
Organization subpart
No
Enumeration date
Aug 25, 2009
Last updated
Jul 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes

Practice location

305 E. C Street
Dixon, CA 95620-3000

Phone 559-221-8100 · Fax 559-221-8101

Mailing address

7170 N. Financial Drive
Suite 135
Fresno, CA 93720-2978

Phone 559-221-8100 · Fax 559-221-8101

Authorized official

Donnie Joseph Andrade
Ceo
5592218100

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