Organization
COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Active
Other names
CCS RIVERBEND MTU
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BULLICK (DIRECTOR OF HEALTH SERVICES)
(559) 737-4669
Entity
Organization
Contact information
Practice address
1800 N LOVERS LN, VISALIA, CA 93292-3102
(559) 685-2533
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4669
(559) 737-4697
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
NOT APPLICABLE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00111F
—
CA
Enumeration date
11/16/2006
Last updated
08/22/2020
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