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Organization

EMINENCE HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN GARZA II (COO/PROGRAM DIRECTOR)
(559) 221-8100
Entity
Organization

Contact information

Practice address
3125 WRIGHT ST, RM 410,907A,1508,LIBRARY,ARCHIVE,COWBOY CENTRAL,BUSI..., SELMA, CA 93662-2429
(559) 221-8100
(559) 221-8101
Mailing address
PO BOX 27707, FRESNO, CA 93729-7707
(559) 221-8100
(559) 221-8101

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101076
DRUG MEDI-CAL
CA
Enumeration date
01/18/2007
Last updated
03/25/2015
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