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Organization

COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY

Active
Other names
CCS PORTERVILLE 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
1051 S PLANO ST, PORTERVILLE, CA 93257-6026
(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
CCS00110F
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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