Healthcare Provider Details
I. General information
NPI: 1093222093
Provider Name (Legal Business Name): COMPASS POINT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 W UWCHLAN AVE STE 101
DOWNINGTOWN PA
19335-2360
US
IV. Provider business mailing address
202 W UWCHLAN AVE STE 101
DOWNINGTOWN PA
19335-2360
US
V. Phone/Fax
- Phone: 610-269-6195
- Fax:
- Phone: 610-812-3243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2050X |
| Taxonomy | Respite Care Camp |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRIS
WETZLER
Title or Position: DIRECTOR
Credential:
Phone: 610-269-6195