Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA DAWN SELF
Active Sole ProprietorAMANDA DAWN SELF is a Intermediate Care Facility (ICF) healthcare provider located in TENNESSEE RIDGE, Tennessee. NPI 1245815109 is currently active in the NPPES registry. Verify at CMS.
Intermediate Care Facility (ICF) · TENNESSEE RIDGE, TN
Registration Details
- NPI Number
- 1245815109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2021 (5.4160102586712 yrs)
- Last Updated
- Mar 12, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1330 N MAIN STTENNESSEE RIDGE, TN, 371784003Browse TN providers · Browse ZIP 37178
- Phone
- 8882914357
- Primary Specialty
-
Intermediate Care Facility (ICF)
310500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.