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Eminence Healthcare Services, LLC

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

NPI 1821224650 · NPPES record last updated Sep 21, 2017

Key facts

NPI
1821224650
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
EMINENCE HEALTHCARE SERVICES, LLC
Practice address
608 N 1St Ave
Room 21
Avenal, CA 93204-1071
Phone
(559) 221-8100
Fax
(559) 221-8101
NPI assigned
Jun 8, 2009
Organization subpart
No

Authorized official

Name
Mr. Juan Garza II
Title
Ceo/Program Director
Phone
(559) 221-8100

Corporate family (same tax ID) 40

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

View all 40

National Provider Directory

Tax ID family
Eminence Healthcare Services LLC (41 organizations share this tax ID)

Locations

608 N 1st Ave
Rm 21
Avenal, CA 93204

Specialties & licenses

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

Addresses

Primary practice location

608 N 1St Ave
Room 21
Avenal, CA 93204-1071

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.