Organization
FOCUS ONE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN DUDREY (OWNER)
(417) 778-1776
Entity
Organization
Contact information
Practice address
RR 1 BOX 1550, ALTON, MO 65606-9789
(417) 778-1776
Mailing address
RR 1 BOX 1550, ALTON, MO 65606-9789
(417) 778-1776
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
10/13/2007
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