NPI 1922164599

Frontier Health

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

Practice location

Address: 1135 Volunteer Pkwy STE 14, Bristol, TN 37620-4658
Phone: (423) 878-1600
Fax: (423) 878-1606
Mailing address: PO Box 9054, Gray, TN 37615-9054

Authorised official

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

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X Licence L (20)24M6-076-1413 (TN)

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

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence L (20)24M6-076-1413 (TN)

Other Day Training, Developmentally Disabled Services providers in Tennessee →

Registry record

NPI: 1922164599
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 14 Jul 2021

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.