Healthcare Provider Details

I. General information

NPI: 1417225848
Provider Name (Legal Business Name): NORTH POINT HEALTH & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 E BULLARD AVE
FRESNO CA
93710-5401
US

IV. Provider business mailing address

668 E BULLARD AVE
FRESNO CA
93710-5401
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-2200
  • Fax: 559-320-0751
Mailing address:
  • Phone: 559-320-2200
  • Fax: 559-320-0751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERYL ANN PETTERSON
Title or Position: VP CAMS
Credential:
Phone: 323-596-2145