Organization
KINGS/TULARE AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVIS (DIRECTOR HEALTH AND HUMAN SERVICES)
(559) 737-4660
Entity
Organization
Contact information
Practice address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4660
(559) 737-4698
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSS00033F
—
CA
Enumeration date
10/11/2006
Last updated
08/22/2020
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