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Frontier Health
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnson City, Tennessee
NPI 1417197153

Frontier Health is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gray, TN. Frontier Health practices in Johnson City, TN. The NPI Number for Frontier Health is 1417197153 and holds a License No. L000000002500 (Tennessee).

The current practice location address for Frontier Health is 1113 King Springs Rd, Johnson City, TN and can be reached out via phone at 423-928-4802 and via fax at 423-467-3644.

Location: 1113 King Springs Rd, Johnson City, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417197153
Provider Name
Frontier Health
Credential
Provider Entity Type
Organization
Address
1113 King Springs Rd, Johnson City, TN, 37615-6205
Phone Number
423-928-4802
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
1113 King Springs Rd
City
Johnson City
State
Tennessee
Zip
37601-5009
Phone Number
423-928-4802
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
1113 King Springs Rd
City
Johnson City
State
Tennessee
Zip
37601-5009
Phone Number
423-928-4802
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.
L000000002500 (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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