Organization
FRONTIER HEALTH
Active
Organization
FRONTIER HEALTH
Active
Parent organization
FRONTIER HEALTH
Other names
SPRING HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTIER HEALTH
Authorized official
MR. E. DOUGLAS VARNEY (PRESIDENT & CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
1113 KING SPRINGS RD, JOHNSON CITY, TN 37601-5009
(423) 928-4802
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000002500
TN
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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