Provider Demographics
NPI:1538330394
Name:FRANKLIN ASSCIATION FOR RETARDED CITIZENS
Entity Type:Organization
Organization Name:FRANKLIN ASSCIATION FOR RETARDED CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-435-7621
Mailing Address - Street 1:1210 HAVARD ST
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-2524
Mailing Address - Country:US
Mailing Address - Phone:318-435-7621
Mailing Address - Fax:318-435-7699
Practice Address - Street 1:1210 HAVARD ST
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-2524
Practice Address - Country:US
Practice Address - Phone:318-435-7621
Practice Address - Fax:318-435-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADC2241251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1958522Medicaid