Healthcare Provider Details

I. General information

NPI: 1164420725
Provider Name (Legal Business Name): TULARE LOCAL HEALTH CARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 N CHERRY ST
TULARE CA
93274-2207
US

IV. Provider business mailing address

869 N CHERRY ST
TULARE CA
93274-2207
US

V. Phone/Fax

Practice location:
  • Phone: 559-685-3411
  • Fax: 559-685-3846
Mailing address:
  • Phone: 559-685-3411
  • Fax: 559-685-3846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number120000611
License Number StateCA

VIII. Authorized Official

Name: MR. PAUL WALKER
Title or Position: CEO
Credential:
Phone: 559-685-3462