Provider Demographics
NPI:1205966108
Name:FRANKLIN COUNTY ADULT DAY PROGRAM
Entity type:Organization
Organization Name:FRANKLIN COUNTY ADULT DAY PROGRAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:BRAGG
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-496-1131
Mailing Address - Street 1:127 SHANNON VLG
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2605
Mailing Address - Country:US
Mailing Address - Phone:919-496-5380
Mailing Address - Fax:
Practice Address - Street 1:127 SHANNON VLG
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2605
Practice Address - Country:US
Practice Address - Phone:919-496-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408749Medicaid