Eminence Healthcare Services, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Lemoore, CA. Organization (NPI-2).
NPI number1760618722
StatusActive
Last updated in NPPESSep 21, 2017
Details
- NPI
- 1760618722
- Entity type
- Organization (NPI-2)
- Legal business name
- Eminence Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2009
- Last updated
- Sep 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
101 E Bush StRooms C-3, Annex, 7-8
Lemoore, CA 93245-3601
Phone 559-221-8100 · Fax 559-221-8101
Mailing address
Po Box 27707Fresno, CA 93729-7707
Phone 559-221-8100 · Fax 559-221-8101
Authorized official
Juan Garza
Ceo/Program Director
5592218100
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