MEDICARE: FRANKLINTON ASSOCIATION FOR CHALLENGED CITIZENS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	10534	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518168871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLINTON ASSOCIATION FOR CHALLENGED CITIZENS, INC

Provider Business Mailing Address
First Line	:	PO BOX 622
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-0622
Country	:	US
Telephone Number	:	985-839-5891
Fax Number	:	985-839-5897

Provider Business Practice Location Address
First Line	:	2008 MAIN ST
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-3620
Country	:	US
Telephone Number	:	985-839-5891
Fax Number	:	985-839-5897

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	MRS. ELLEN CREEL
Credential	:
Telephone Number	:	985-839-6688

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	08/22/2020

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