Individual provider · Type 1 NPI
D'ovionne Nydasia Potter
Physical Disabilities Residential Treatment Facility · Columbia, TN
NPI number
1346897022
Active
Practice location
202 Chapman Ln
Columbia, TN 38401-2622
Mailing address
2122 Circle Dr
Columbia, TN 38401-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Other physical disabilities residential treatment facility providers in Columbia
About NPI 1346897022
D'ovionne Nydasia Potter's National Provider Identifier is 1346897022, issued on Aug 19, 2019. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Columbia, TN. The record was last updated on Aug 19, 2019.