Organization
FRONTIER HEALTH
Active
Other names
Frontier Industries Bristol
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE HAMMONDS (PRESIDENT AND CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
1135 VOLUNTEER PKWY STE 14, BRISTOL, TN 37620-4658
(423) 878-1600
(423) 878-1606
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 (20)24M6-076-1413
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L (20)24M6-076-1413
TN
Other
Enumeration date
12/28/2006
Last updated
07/14/2021
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