Frontier Health

NPI #1073735643 in Bristol, Tennessee

Provider Information

NPI Number: 1073735643
Entity Type: Organization
Organization Name: Frontier Health
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 3, 2007
Last Updated: Jan 10, 2020

Practice Location

Address: 719 KENTUCKY AVE
City: Bristol
State: Tennessee
ZIP Code: 37620-3806
Phone: (423) 968-2532

Authorized Official

Name: MRS. KRISTIE HAMMONDS
Title: PRESIDENT AND CEO
Phone: (423) 467-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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