Healthcare Provider Details
I. General information
NPI: 1447918362
Provider Name (Legal Business Name): FRANKLIN SENIOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2021
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1375 NICOLE DR
FRANKLIN IN
46131-9244
US
IV. Provider business mailing address
11500 THERESA DR
LEMONT IL
60439-2727
US
V. Phone/Fax
- Phone: 463-724-2121
- Fax:
- Phone: 630-243-3600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HELEN
GUTHRIE
Title or Position: AVP PROJECT MANAGEMENT
Credential:
Phone: 708-710-8337