Provider Demographics
NPI:1528085560
Name:FRANKLIN LTC, LLC
Entity type:Organization
Organization Name:FRANKLIN LTC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:601-849-2294
Mailing Address - Street 1:390 UNDERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-4105
Mailing Address - Country:US
Mailing Address - Phone:256-332-3826
Mailing Address - Fax:256-332-3874
Practice Address - Street 1:390 UNDERWOOD RD
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-4105
Practice Address - Country:US
Practice Address - Phone:256-332-3826
Practice Address - Fax:256-332-3874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12543314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL010578OtherBLUE-CROSS
AL4757600SMedicaid
AL4757600SMedicaid