Organization
WELLMONT HEALTH SYSTEM
Active
Other names
BRISTOL HOSPICE HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
280 STEELES RD, BRISTOL, TN 37620
(423) 844-5252
(423) 844-6379
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 844-5252
(423) 844-6379
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
09/04/2018
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