Healthcare Provider Details

I. General information

NPI: 1124075569
Provider Name (Legal Business Name): FRANKLINTON HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAIN ST
FRANKLINTON LA
70438-3620
US

IV. Provider business mailing address

2000 MAIN ST
FRANKLINTON LA
70438-3620
US

V. Phone/Fax

Practice location:
  • Phone: 985-839-4491
  • Fax: 985-839-2972
Mailing address:
  • Phone: 985-839-4491
  • Fax: 985-839-2972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number876
License Number StateLA

VIII. Authorized Official

Name: JERON WALKER
Title or Position: MANAGER
Credential:
Phone: 704-273-1580