Provider Demographics
NPI:1013519891
Name:FRANKLIN, WENDY
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29151-0397
Mailing Address - Country:US
Mailing Address - Phone:803-883-5117
Mailing Address - Fax:803-883-4015
Practice Address - Street 1:45 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-5244
Practice Address - Country:US
Practice Address - Phone:803-883-5117
Practice Address - Fax:803-883-4015
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2024-02-13
Deactivation Date:2023-12-11
Deactivation Code:
Reactivation Date:2024-02-13
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-1068251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health