Provider Demographics
NPI:1114394376
Name:FOCUS POINTE HEALTH
Entity Type:Organization
Organization Name:FOCUS POINTE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DESHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:910-263-3660
Mailing Address - Street 1:100 E MADISON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2466
Mailing Address - Country:US
Mailing Address - Phone:910-263-3660
Mailing Address - Fax:
Practice Address - Street 1:100 E MADISON ST
Practice Address - Street 2:SUITE E
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2466
Practice Address - Country:US
Practice Address - Phone:910-263-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health