Organization
FOCUS SUPPORT GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONDAY CHINEYEZE ONUOHA (CEO)
(704) 662-9179
Entity
Organization
Contact information
Practice address
375 VIRGINIA AVE, CHINA GROVE, NC 28023-8539
(704) 855-3853
(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-080-141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409409
—
NC
Enumeration date
01/05/2007
Last updated
08/22/2020
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