Provider Demographics
NPI:1881011492
Name:FRANKLIN COUNTY HEALTH & REHABILITATION, LLC
Entity type:Organization
Organization Name:FRANKLIN COUNTY HEALTH & REHABILITATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-245-1900
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:ROYSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30662-0589
Mailing Address - Country:US
Mailing Address - Phone:706-245-1900
Mailing Address - Fax:706-245-1902
Practice Address - Street 1:545 COOK ST
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-3902
Practice Address - Country:US
Practice Address - Phone:706-245-1900
Practice Address - Fax:706-245-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-059-2039314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000059562AMedicaid
GA000059562AMedicaid