Provider Demographics
NPI:1841882008
Name:COMPASS, ARLENE CYNTHIA
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:CYNTHIA
Last Name:COMPASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 NW 72ND TER
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3466
Mailing Address - Country:US
Mailing Address - Phone:954-709-2199
Mailing Address - Fax:954-835-5336
Practice Address - Street 1:4901 NW 72ND TER
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-3466
Practice Address - Country:US
Practice Address - Phone:954-709-2199
Practice Address - Fax:954-835-5336
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11969789310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility