Organization
FOCUS SUPPORT SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN VINSON ONUOHA (PRESIDENT)
(704) 662-9179
Entity
Organization
Contact information
Practice address
857 PLAZA LN, MOORESVILLE, NC 28115-9555
(704) 662-9179
(704) 663-1509
Mailing address
857 PLAZA LN, MOORESVILLE, NC 28115-9555
(704) 662-9179
(704) 663-1509
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-080-126
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-080-141
NC
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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