Healthcare Provider Details

I. General information

NPI: 1154184083
Provider Name (Legal Business Name): 2000 FRANK SNF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAIN ST
FRANKLINTON LA
70438-3620
US

IV. Provider business mailing address

2100 VEROT SCHOOL RD STE 4
LAFAYETTE LA
70508-6466
US

V. Phone/Fax

Practice location:
  • Phone: 985-839-4491
  • Fax: 985-839-2972
Mailing address:
  • Phone: 337-270-9090
  • Fax: 337-270-9038

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: CHARLES MOODY
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 133-727-0909