Provider Demographics
NPI:1396355533
Name:FRONT LINE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:FRONT LINE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-466-0015
Mailing Address - Street 1:26645 W 12 MILE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7812
Mailing Address - Country:US
Mailing Address - Phone:248-466-0015
Mailing Address - Fax:248-466-0014
Practice Address - Street 1:26645 W 12 MILE RD STE 210
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7812
Practice Address - Country:US
Practice Address - Phone:248-466-0015
Practice Address - Fax:248-466-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health