Provider Demographics
NPI:1790405108
Name:FRONTLINE FOSTER CARE LLC
Entity Type:Organization
Organization Name:FRONTLINE FOSTER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHABOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-513-7056
Mailing Address - Street 1:352 HUMPHREY ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2259
Mailing Address - Country:US
Mailing Address - Phone:781-513-7056
Mailing Address - Fax:781-595-1271
Practice Address - Street 1:352 HUMPHREY ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-2259
Practice Address - Country:US
Practice Address - Phone:781-513-7056
Practice Address - Fax:781-595-1271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency