Organization
FRONTIER HEALTH
Active
Other names
Frontier Industries Kingsport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE HAMMONDS (PRESIDENT AND CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
2017 STONEBROOK PL, KINGSPORT, TN 37660-4000
(423) 224-1417
(423) 224-1418
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L 3(20)24M3-076-1414
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L 3(20)24M3-076-1414
TN
Other
Enumeration date
12/27/2006
Last updated
01/10/2020
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