Organization
EUREKA IMPERIAL RESIDENCE 3
Active
Organization
EUREKA IMPERIAL RESIDENCE 3
Active
Parent organization
EUREKA IMPERIAL RESIDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUREKA IMPERIAL RESIDENCE
Authorized official
CORNELIUS TANYI (PROGRAM DIRECTOR)
(480) 264-2647
Entity
Organization
Contact information
Practice address
1080 E CLIFTON AVE, GILBERT, AZ 85295-1135
(480) 264-2647
Mailing address
1080 E CLIFTON AVE, GILBERT, AZ 85295-1135
(480) 264-2647
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up