Healthcare Provider Details

I. General information

NPI: 1154905354
Provider Name (Legal Business Name): FRANKLIN FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ORCHARD AVE
ROCKY MOUNT VA
24151-1842
US

IV. Provider business mailing address

720 ORCHARD AVE
ROCKY MOUNT VA
24151-1842
US

V. Phone/Fax

Practice location:
  • Phone: 540-489-3467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: BRIAN STOVALL
Title or Position: ADMINISTRATOR
Credential:
Phone: 540-489-3467