EMINENCE HEALTHCARE INC. NPI 1043469539

NPI Information

EMINENCE HEALTHCARE, INC. is a rehabilitation and substance use disorder clinic center in Fresno, CA. EMINENCE HEALTHCARE, INC. NPI is 1043469539. The provider is registered as an organization entity type.

The provider's business location address is:

6240 W PALO ALTO AVE
RM 201, 301, 801-805
FRESNO, CA
ZIP 93722-001
Phone: (559) 221-8100
Fax: (559) 221-8101

The provider's authorized official is Juan Garza .
The authorized official title is Coo/program Director and has the following contact phone number (559) 221-8100.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 1/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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