Organization
FRONTIER HEALTH
Active
Parent organization
FRONTIER HEALTH
Other names
ELDRETH HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTIER HEALTH
Authorized official
MRS. KRISTIE HAMMONDS (PRESIDENT & CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
2301 E CENTER ST, KINGSPORT, TN 37664-2701
(423) 247-4000
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 247-4000
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000002478
TN
Other
Enumeration date
02/20/2009
Last updated
01/10/2020
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