Organization Name: | FOCUS ON FUCTION, INC. |
NPI Number: | 1508081373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN MARY MICHAUD (ADMINISTRATOR) |
Mailing Address: | 4159 Ringgold Rd Ste 106 East Ridge |
State: | TN US |
Postal Code: | 374122442 |
Phone Number: | 4236226615 |
Fax Number: | 4236226614 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | PSS0000000026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |