Organization Name: | FRANKLIN QUALITY CARE LLC |
NPI Number: | 1083085997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA EBURUCHE (OWNER) |
Mailing Address: | 23111 Britner Ct Bingham Farms |
State: | MI US |
Postal Code: | 480254707 |
Phone Number: | 3133004370 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 4704236723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |