| Phoenixaod, Ltd | |
|
242 Lafayette Ln Franklin Furnace OH 45629-9014 | |
| (740) 354-9607 | |
| (740) 354-9607 |
| Full Name | Phoenixaod, Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 242 Lafayette Ln, Franklin Furnace, Ohio |
| Authorized Official Name and Position | Carl George Elswick (CEO MANAGING MEMBER) |
| Authorized Official Contact | 7403549607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenixaod, Ltd 242 Lafayette Ln Franklin Furnace OH 45629-9014 Ph: (740) 354-9607 | Phoenixaod, Ltd 242 Lafayette Ln Franklin Furnace OH 45629-9014 Ph: (740) 354-9607 |
| NPI Number | 1386886240 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386886240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Focus Residential Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Gervais Rd, Franklin Furnace, OH 45629 Phone: 740-259-7000 Fax: 740-259-7003 |