Organization
COMPASS ADULT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK BULLARD (CEO)
(704) 521-4977
Entity
Organization
Contact information
Practice address
4000 SHIPYARD BLVD, SUITE 130, WILMINGTON, NC 28403-6192
(704) 521-4977
(704) 521-8541
Mailing address
PO BOX 19649, CHARLOTTE, NC 28219-9649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301688
—
NC
05
—
8301688B
—
NC
05
—
8301688G
—
NC
Enumeration date
01/09/2008
Last updated
01/09/2008
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