Whalio Doctors

NPI 1144460817

Frontier Health

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

Practice location

Address
2301 E Center St, Kingsport, TN 37664-2701
Phone
(423) 247-4000
Fax
(423) 467-3644
Mailing address
1167 Spratlin Park Dr, Gray, TN 37615-6205

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence L000000002478 (TN)

Registry record

NPI
1144460817
Entity type
Organization
NPI issued
20 Feb 2009
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.