Organization
FRONTLINE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMILOLA FAMORIYO MSC (ADMINISTRATOR)
(443) 546-5134
Entity
Organization
Contact information
Practice address
682 SEAWAVE CT, MIDDLE RIVER, MD 21220-2378
(443) 546-5134
Mailing address
682 SEAWAVE CT, MIDDLE RIVER, MD 21220-2378
(443) 546-5134
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21753900
PRIVATE/SELF PAY
MD
05
—
W21753900
—
MD
Enumeration date
05/15/2023
Last updated
08/16/2023
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