Individual provider · Type 1 NPI
Hamelmal S. Admassie
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Antioch, TN
Practice location
880 Pin Oak Dr
Antioch, TN 37013-1532
Mailing address
737 Sapphire Dr
Murfreesboro, TN 37128-0654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 1000000025070 (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 Antioch
About NPI 1447891171
Hamelmal S. Admassie's National Provider Identifier is 1447891171, issued on Oct 3, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Antioch, TN. The record was last updated on Oct 3, 2019.