Organization · Type 2 NPI
Frontier Health
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bristol, TN
Practice location
2940 Broad St
Bristol, TN 37620-3414
Fax (423) 467-3644
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | L000000002495 (TN) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Bristol
About NPI 1326288093
Frontier Health's National Provider Identifier is 1326288093, issued on Feb 20, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bristol, TN. The record was last updated on Feb 20, 2009.