NPI 1073735643

Frontier Health

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Bristol, TN

Practice location

Address: 719 Kentucky Ave, Bristol, TN 37620-3806
Phone: (423) 968-2532
Mailing address: PO Box 9054, Gray, TN 37615-9054

Authorised official

Name: Kristie Hammonds
Title: President and Ceo
Phone: (423) 467-3600

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence L 324-076-1411 (TN)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Registry record

NPI: 1073735643
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 10 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.