Provider Demographics
NPI:1558634113
Name:A.L.L. FOCUS INC
Entity Type:Organization
Organization Name:A.L.L. FOCUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWEY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:904-537-0599
Mailing Address - Street 1:2005 BROWARD RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-5323
Mailing Address - Country:US
Mailing Address - Phone:904-329-1027
Mailing Address - Fax:904-212-0082
Practice Address - Street 1:11115 KEY HAVEN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-4488
Practice Address - Country:US
Practice Address - Phone:904-329-1027
Practice Address - Fax:904-212-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL100019473320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness