Eureka Imperial Residence

LBN: Eureka Imperial Residence
Eureka Imperial Residence is an health care organization with primary practice located at 1740 S Heritage Drive , Gilbert AZ 85296. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Eureka Imperial Residence can be contacted via phone (480) 264-2647, or through Tanyi, Cornelius Ebai via phone (480) 375-5192.

Contact Information

Primary practice address
1740 S Heritage Drive Gilbert AZ 85296
Phone: (480) 264-2647
Fax: (480) 264-2647
Website:
Map and Directions
Authorized official contact:
Name: Tanyi, Cornelius Ebai
Phone: (480) 375-5192

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH3319 Arizona

Profile Details

NPI number 1679704381
LBN Legal business name Eureka Imperial Residence
DBA Doing business as
Authorized official Tanyi, Cornelius Ebai
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2009
Last updated Jul 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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