Provider Demographics
NPI:1255605408
Name:FOCUS ON FAMILY
Entity type:Organization
Organization Name:FOCUS ON FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-851-7278
Mailing Address - Street 1:PO BOX 92098
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-0098
Mailing Address - Country:US
Mailing Address - Phone:678-851-7278
Mailing Address - Fax:
Practice Address - Street 1:3200 BENJAMIN E MAYS DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-2236
Practice Address - Country:US
Practice Address - Phone:678-851-7278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251B00000X, 251X00000X, 311ZA0620X, 251J00000X
251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251X00000XAgenciesSupports Brokerage
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home