Healthcare Provider Details

I. General information

NPI: 1093642795
Provider Name (Legal Business Name): FRONTIER COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36530 ST. ANDREWS RD.
KENAI AK
99611-8280
US

IV. Provider business mailing address

43335 K BEACH RD STE 36
SOLDOTNA AK
99669-8280
US

V. Phone/Fax

Practice location:
  • Phone: 907-262-6331
  • Fax: 907-262-6294
Mailing address:
  • Phone: 907-262-6331
  • Fax: 907-262-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA ELDER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 907-331-3385