FRONTIER HEALTH NPI 1265597280

NPI Information

FRONTIER HEALTH is a community based residential treatment facility mental illness in Kingsport, TN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FRONTIER HEALTH NPI is 1265597280. The provider is registered as an organization entity type.
The provider Is Doing Business As Roller Russ Residence For Independent Living.

The provider's business location address is:

2221 MEMORIAL CT
KINGSPORT, TN
ZIP 37664-339
Phone: (423) 245-1121
Fax: (423) 467-3644

The provider's authorized official is E Douglas Varney .
The authorized official title is President And Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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