MEDICARE: FRANKLINTON HEALTHCARE, LLC

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	314000000X	Skilled Nursing Facility	876	LA

General Provider Information

NPI Number	:	1538224720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLINTON HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	2000 MAIN ST
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-3620
Country	:	US
Telephone Number	:	985-839-4491
Fax Number	:	985-839-2972

Provider Business Practice Location Address
First Line	:	2000 MAIN ST
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-3620
Country	:	US
Telephone Number	:	985-839-4491
Fax Number	:	985-839-2972

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HAROLD SMITH
Credential	:
Telephone Number	:	985-839-4491

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/22/2020

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