Roller Russ Residence For Independent Living

LBN: Frontier Health
Roller Russ Residence For Independent Living is an health care organization with primary practice located at 2221 Memorial Ct , Kingsport TN 37664-3339. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Frontier Health can be contacted via phone (423) 245-1121, or through Varney, E Douglas via phone (423) 467-3600.

Contact Information

Primary practice address
2221 Memorial Ct Kingsport TN 37664-3339
Phone: (423) 245-1121
Fax: (423) 467-3644
Website:
Map and Directions
Authorized official contact:
Name: Varney, E Douglas
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X L 219-076-1426 Tennessee

Profile Details

NPI number 1265597280
LBN Legal business name Frontier Health
DBA Doing business as Roller Russ Residence For Independent Living
Authorized official Varney, E Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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