Healthcare Provider Details

I. General information

NPI: 1003693805
Provider Name (Legal Business Name): FROLA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10221 ALONDRA DR
BAKERSFIELD CA
93311-4550
US

IV. Provider business mailing address

10221 ALONDRA DR
BAKERSFIELD CA
93311-4550
US

V. Phone/Fax

Practice location:
  • Phone: 661-444-2452
  • Fax:
Mailing address:
  • Phone: 661-444-2452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. FRANK O AGBONKONKON
Title or Position: PRESIDENT
Credential:
Phone: 661-444-2452