Provider Demographics
NPI:1174827364
Name:DISTINCT FOCUS ON LIFE, L.P.
Entity Type:Organization
Organization Name:DISTINCT FOCUS ON LIFE, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:COATS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARILYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-635-9105
Mailing Address - Street 1:605 CARD DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-5758
Mailing Address - Country:US
Mailing Address - Phone:936-632-4843
Mailing Address - Fax:
Practice Address - Street 1:605 CARD DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-5758
Practice Address - Country:US
Practice Address - Phone:936-632-4843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility