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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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