Organization
FOCUS RESIDENTIAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY K GIFFORD RN (OWNER, EXECUTIVE DIRECTOR)
(740) 259-7000
Entity
Organization
Contact information
Practice address
303 GERVAIS RD, FRANKLIN FURNACE, OH 45629-8742
(740) 259-7000
(740) 259-7001
Mailing address
303 GERVAIS RD, FRANKLIN FURNACE, OH 45629-8742
(740) 259-7000
(740) 259-7001
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13721
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13721
OHIO MENTAL HEALTH AND ADDICTION SERVICES
OH
Enumeration date
08/19/2014
Last updated
08/19/2014
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