Healthcare Provider Details

I. General information

NPI: 1033630827
Provider Name (Legal Business Name): FRANHOLD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4703 CARTER ST
OREGON WI
53575-2862
US

IV. Provider business mailing address

4703 CARTER ST
OREGON WI
53575-2862
US

V. Phone/Fax

Practice location:
  • Phone: 224-698-7050
  • Fax:
Mailing address:
  • Phone: 224-698-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MR. ALFREDO BALMASEDA
Title or Position: CHAIRMAN
Credential: MBA, MPA, CMNA
Phone: 224-698-7050