Organization
FRONTIER TRAVEL, LLC
Active
Other names
Frontier Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY F BUNDY (PRESIDENT)
(973) 445-5950
Entity
Organization
Contact information
Practice address
190 N PARK ST APT 2, EAST ORANGE, NJ 07017-1820
(973) 445-5950
Mailing address
190 N PARK ST APT 2, EAST ORANGE, NJ 07017-1820
(973) 445-5950
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
NJ
253Z00000X
In Home Supportive Care Agency
Primary
—
NJ
Other
Enumeration date
04/06/2018
Last updated
06/16/2018
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