Provider Demographics
NPI:1881356277
Name:FRONTLINE SOLUTIONS CENTRE LLC
Entity type:Organization
Organization Name:FRONTLINE SOLUTIONS CENTRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DESWICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-933-9714
Mailing Address - Street 1:927 KEEPSAKE DIAMOND LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4286
Mailing Address - Country:US
Mailing Address - Phone:615-933-9714
Mailing Address - Fax:
Practice Address - Street 1:927 KEEPSAKE DIAMOND LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4286
Practice Address - Country:US
Practice Address - Phone:615-933-9714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty