# COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCS PORTERVILLE MTU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619041449
- **Authorized official:** RAYMOND BULLICK (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (559) 737-4669

## Contact information

- **Practice address:** 1051 S PLANO ST, PORTERVILLE, CA 93257-6026
- **Practice address phone:** (559) 685-2533
- **Mailing address:** 5957 S MOONEY BLVD, VISALIA, CA 93277-9394
- **Mailing address phone:** (559) 737-4669
- **Mailing address fax:** (559) 737-4697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | NOT APPLICABLE | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020