Provider Demographics
NPI:1457656035
Name:DISTINCT FOCUS ON LIFE, L.P.
Entity Type:Organization
Organization Name:DISTINCT FOCUS ON LIFE, L.P.
Other - Org Name:COATS SENIOR HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-635-9105
Mailing Address - Street 1:508 WILLOW OAK DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-5794
Mailing Address - Country:US
Mailing Address - Phone:936-632-1112
Mailing Address - Fax:
Practice Address - Street 1:508 WILLOW OAK DR.
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75915-5794
Practice Address - Country:US
Practice Address - Phone:936-632-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility