Individual provider · Type 1 NPI

Amanda Dawn Self

Mental Illness Intermediate Care Facility · Tennessee Ridge, TN

NPI number 1245815109 Active

Practice location

1330 N Main St
Tennessee Ridge, TN 37178-4003

Call (888) 291-4357 Map

Mailing address

220 Mockingbird St
Erin, TN 37061-6098

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Intermediate Care Facility Primary 310500000XNone listed

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

38 other providers at this address

About NPI 1245815109

Amanda Dawn Self's National Provider Identifier is 1245815109, issued on Mar 12, 2021. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Tennessee Ridge, TN. The record was last updated on Mar 12, 2021.