Provider Demographics
NPI:1578604336
Name:FRANKFORT HABILITATION, INC
Entity Type:Organization
Organization Name:FRANKFORT HABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:502-227-9529
Mailing Address - Street 1:3755 LAWRENCEBURG RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8412
Mailing Address - Country:US
Mailing Address - Phone:502-227-9529
Mailing Address - Fax:502-227-7191
Practice Address - Street 1:3755 LAWRENCEBURG RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8412
Practice Address - Country:US
Practice Address - Phone:502-227-9529
Practice Address - Fax:502-227-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY33300237Medicare ID - Type UnspecifiedSCL PROVIDER