Organization
DISTINCT FOCUS ON LIFE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L LOPER JR. (CEO)
(936) 422-4440
Entity
Organization
Contact information
Practice address
112 N US HIGHWAY 69, HUNTINGTON, TX 75949
(936) 635-2114
Mailing address
PO BOX 155953, LUFKIN, TX 75915-5953
(936) 635-2114
(936) 422-4667
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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