Provider Demographics
NPI:1215228622
Name:FOCUS SUPPORT SERVICE INC.
Entity type:Organization
Organization Name:FOCUS SUPPORT SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:VINSON
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-662-9179
Mailing Address - Street 1:857 PLAZA LN
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-9555
Mailing Address - Country:US
Mailing Address - Phone:704-662-9179
Mailing Address - Fax:704-663-1509
Practice Address - Street 1:857 PLAZA LN
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-9555
Practice Address - Country:US
Practice Address - Phone:704-662-9179
Practice Address - Fax:704-663-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-080-126320600000X
NCMHL-080-141320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities