Taxonomy Code 310500000X(310500000x)
Mental Illness Intermediate Care Facility. Providers: 1

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Mental Illness Intermediate Care Facility Providers

NPI Name Type Address

1245815109

Amanda Dawn Self

Individual

1330 N Main St

Tennessee Ridge, TN

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 310500000X
Display Name Mental Illness Intermediate Care Facility
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Intermediate Care Facility, Mental Illness
Definition A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Effective Date September 30, 2009
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