Organization
EMINENCE HEALTHCARE, INC.
Active
Parent organization
EMINENCE HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMINENCE HEALTHCARE, INC.
Authorized official
MR. DONNIE JOSEPH ANDRADE (CEO)
(559) 221-8100
Entity
Organization
Contact information
Practice address
599 FIFTH STREET, MCFARLAND, CA 93250
(559) 221-8100
(559) 221-8101
Mailing address
7170 N. FINANCIAL DRIVE, SUITE 135, FRESNO, CA 93720-2978
(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
MEDI-CAL
CA
Enumeration date
02/22/2008
Last updated
03/01/2011
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