institution
Frontier Health
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kingsport, Tennessee
NPI 1700941721

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 1700941721 and holds a License No. L 3(20)24M3-076-1414 (Tennessee).

The current practice location address for Frontier Health is 2017 Stonebrook Pl, Kingsport, TN and can be reached out via phone at 423-224-1417 and via fax at 423-224-1418. You can also correspond with Frontier Health through the mailing address at PO BOX 9054, GRAY, TN - 37615-9054 (mailing address contact number: 423-467-3600).

Location: 2017 Stonebrook Pl, Kingsport, TN, 37615-9054
institution
Provider Profile Details
NPI Number
1700941721
Provider Name
Frontier Health
Credential
Provider Entity Type
Organization
Address
2017 Stonebrook Pl, Kingsport, TN, 37615-9054
Phone Number
423-224-1417
Fax Number
423-224-1418
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2017 Stonebrook Pl
City
State
Zip
37660-4000
Phone Number
423-224-1417
Fax Number
423-224-1418
person
Provider Business Mailing Address Details
Address
Po Box 9054
City
State
Zip
37615-9054
Phone Number
423-467-3600
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
L 3(20)24M3-076-1414 (Tennessee)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
L 3(20)24M3-076-1414 (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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