AMANDA DAWN SELF

TENNESSEE RIDGE, TN
NPI1245815109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310500000X Intermediate Care Facility, Mental Illness
Enumeration Date2021-03-12
Last Update Date2021-03-12
Business Address
AMANDA DAWN SELF
1330 N MAIN ST
TENNESSEE RIDGE, TN 37178-4003
Phone number: 888-291-4357
Mailing Address
AMANDA DAWN SELF
220 MOCKINGBIRD ST
ERIN, TN 37061-6098
Phone number: