Provider Demographics
NPI:1609273770
Name:FRANKLIN COUNTY BD OF COMM. HDM
Entity type:Organization
Organization Name:FRANKLIN COUNTY BD OF COMM. HDM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-384-2500
Mailing Address - Street 1:141 ATHENS STREET
Mailing Address - Street 2:
Mailing Address - City:CARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30521
Mailing Address - Country:US
Mailing Address - Phone:706-384-2500
Mailing Address - Fax:706-384-2502
Practice Address - Street 1:141 ATHENS ST.
Practice Address - Street 2:
Practice Address - City:CARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30521
Practice Address - Country:US
Practice Address - Phone:706-384-2500
Practice Address - Fax:706-384-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000920697Medicaid