Healthcare Provider Details

I. General information

NPI: 1083085997
Provider Name (Legal Business Name): FRANKLIN QUALITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23111 BRITNER CT
BINGHAM FARMS MI
48025-4707
US

IV. Provider business mailing address

23111 BRITNER CT
BINGHAM FARMS MI
48025-4707
US

V. Phone/Fax

Practice location:
  • Phone: 313-300-4370
  • Fax:
Mailing address:
  • Phone: 313-300-4370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704236723
License Number StateMI

VIII. Authorized Official

Name: MS. ANGELA EBURUCHE
Title or Position: OWNER
Credential: N.P.
Phone: 313-300-4370