Eminence Healthcare Services, Llc in Fresno - Rehabilitation, Substance Use Disorder
Eminence Healthcare Services, Llc - NPI 1508047333
Eminence Healthcare Services, Llc is a Rehabilitation, Substance Use Disorder in Fresno, California. Eminence Healthcare Services, Llc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Eminence Healthcare Services, Llc is 1508047333. The last update date is 2017-09-21.
Eminence Healthcare Services, Llc's current location address is Po Box 27707, Fresno, California. You can contact this provider via phone number 5592218100 and fax number 5592218101. The mailing address for Eminence Healthcare Services, Llc is Po Box 27707, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eminence Healthcare Services, Llc |
|---|---|
| Address | Po Box 27707, Fresno, California |
| Phone Number | 5592218100 |
| Fax Number | 5592218101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PROGRA |
|---|---|
| Authorized Official Name | Garza Juan |
| Telephone Number | 5592218100 |
NPI Number Detail
| NPI Number | 1508047333 |
|---|---|
| Provider Enumeration Date | 2007-11-20 |
| Last Updated Date | 2017-09-21 |
Provider Mailing Address Detail
| Address | Po Box 27707 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937297707 |
| Phone Number | 5592218100 |
| Fax Number | 5592218101 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101076 | CA | MEDI-CAL |
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What is the unique 10-digit identification code assigned to Eminence Healthcare Services, Llc by the Centers for Medicare & Medicaid Services?
The Eminence Healthcare Services, Llc has been issued the NPI (National Provider Identifier) 1508047333, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Eminence Healthcare Services, Llc?
The Eminence Healthcare Services, Llc is physically situated at Po Box 27707, in the city of Fresno, state of CA, with the postal code 937297707.
What is Eminence Healthcare Services, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eminence Healthcare Services, Llc is Rehabilitation, Substance Use Disorder, and the taxonomy code that categorizes this field of expertise is 261Qr0405X.
On what date did the Eminence Healthcare Services, Llc receive its 1508047333 assignment from the Centers for Medicare & Medicaid Services?
The Eminence Healthcare Services, Llc was assigned its 1508047333 by the Centers for Medicare & Medicaid Services on 2007-11-20.
As of what date were the Eminence Healthcare Services, Llc's details last updated?
The information pertaining to the Eminence Healthcare Services, Llc, including its address, specialty, and other details, was most recently updated on 2017-09-21.
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