Healthcare Provider Details

I. General information

NPI: 1770129967
Provider Name (Legal Business Name): FRANKLIN OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 CHINABERRY ST
FRANKLIN LA
70538-5236
US

IV. Provider business mailing address

1907 CHINABERRY ST
FRANKLIN LA
70538-5236
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-1918
  • Fax: 337-828-3650
Mailing address:
  • Phone: 337-828-1918
  • Fax: 337-828-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: V. DEVIN GUM
Title or Position: MANAGER
Credential:
Phone: 225-800-4954