Provider Demographics
NPI:1740416890
Name:FRONTIER COMMUNITY SERVICES
Entity Type:Organization
Organization Name:FRONTIER COMMUNITY SERVICES
Other - Org Name:FRONTIER COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-714-6644
Mailing Address - Street 1:43335 KALIFORNSKY BEACH ROAD
Mailing Address - Street 2:SUITE 36
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8280
Mailing Address - Country:US
Mailing Address - Phone:907-262-6331
Mailing Address - Fax:907-262-6294
Practice Address - Street 1:825 COTTONWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:VALD
Practice Address - State:AK
Practice Address - Zip Code:99686
Practice Address - Country:US
Practice Address - Phone:907-262-6331
Practice Address - Fax:907-262-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility