IndividualActive
Amanda Self
NPI 1245815109 · Mental Illness Intermediate Care Facility · Tennessee Ridge, TN
Provider details
- NPI number
- 1245815109
- Entity type
- Individual
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
220 Mockingbird St
Erin, TN 37061-6098
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.