Provider Demographics
NPI:1659530699
Name:FRANKLINHOUSE
Entity Type:Organization
Organization Name:FRANKLINHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNA
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:620-223-2720
Mailing Address - Street 1:721 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2809
Mailing Address - Country:US
Mailing Address - Phone:620-223-2720
Mailing Address - Fax:
Practice Address - Street 1:721 BEECH AVE
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2809
Practice Address - Country:US
Practice Address - Phone:620-223-2720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB006004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health