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Frontier Health
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kingsport, Tennessee
NPI 1144460817

Frontier Health is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gray, TN. Frontier Health practices in Kingsport, TN. The NPI Number for Frontier Health is 1144460817 and holds a License No. L000000002478 (Tennessee).

The current practice location address for Frontier Health is 2301 E Center St, Kingsport, TN and can be reached out via phone at 423-247-4000 and via fax at 423-467-3644.

Location: 2301 E Center St, Kingsport, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144460817
Provider Name
Frontier Health
Credential
Provider Entity Type
Organization
Address
2301 E Center St, Kingsport, TN, 37615-6205
Phone Number
423-247-4000
Fax Number
423-467-3644
Provider Enumeration Date
02/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2301 E Center St
City
Kingsport
State
Tennessee
Zip
37664-2701
Phone Number
423-247-4000
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
2301 E Center St
City
Kingsport
State
Tennessee
Zip
37664-2701
Phone Number
423-247-4000
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
L000000002478 (Tennessee)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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