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Eminence Healthcare Kings, Inc.

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Avenal, CA

NPI 1154710424 · NPPES record last updated Jan 9, 2015

Key facts

NPI
1154710424
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
EMINENCE HEALTHCARE KINGS, INC.
Practice address
601 E Mariposa St
Avenal, CA 93204-1413
Phone
(559) 386-5253
NPI assigned
Jan 9, 2015
Organization subpart
No

Authorized official

Name
Juan Garza II
Title
Coo/Program Director
Phone
(559) 221-8100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Eminence Healthcare King Inc (2 organizations share this tax ID)

Locations

601 E Mariposa St
Avenal, CA 93204
Phone (559) 386-5253

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

601 E Mariposa St
Avenal, CA 93204-1413

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

Other providers in Avenal, CA

All providers in Avenal, CA · Substance Use Disorder Rehabilitation Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.