MEDICARE: FOCUS DEVELOPMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1225356140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS DEVELOPMENT

Provider Business Mailing Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:	176
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-300-3136
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:	176
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-300-3136
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MR. CORNELIUS D. PERRY
Credential	:	M.S.W.
Telephone Number	:	281-300-3136

Provider Enumeration Date	:	05/17/2010
Last Update Date	:	05/17/2010

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Directions to “FOCUS DEVELOPMENT ” Practice Location

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