- Enrollment id
- O20110224000261
- Enrollment state
- NC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1376570275
- Multiple npi flag
- N
- Ccn
- 345335
- Associate id
- 5698956613
- Organization name
- EAGLE PEAK LTC GROUP, LLC
- Doing business as name
- FRANKLIN OAKS NURSING AND REHABILITATION CENTER
- Incorporation date
- 2010-08-20
- Incorporation state
- NC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- FRANKLIN OAKS NURSING AND REHABILITATION CENTER
- Affiliation entity name
- PRINCIPLE LONG TERM CARE
- Affiliation entity id
- 423
- Address line 1
- 1704 NC HIGHWAY 39 NORTH
- City
- LOUISBURG
- State
- NC
- Zip code
- 275498329