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Hamelmal S Admassie
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Antioch, Tennessee
NPI 1447891171

Hamelmal S Admassie is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Murfreesboro, TN. Hamelmal S Admassie practices in Antioch, TN. The NPI Number for Hamelmal S Admassie is 1447891171 and holds a License No. 1000000025070 (Tennessee).

The current practice location address for Hamelmal S Admassie is 880 Pin Oak Dr, Antioch, TN and can be reached out via phone at 773-782-0907.

Location: 880 Pin Oak Dr, Antioch, TN, 37128-0654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447891171
Provider Name
Hamelmal S Admassie
Credential
Provider Entity Type
Individual
Gender
Female
Address
880 Pin Oak Dr, Antioch, TN, 37128-0654
Phone Number
773-782-0907
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
880 Pin Oak Dr
City
Antioch
State
Tennessee
Zip
37013-1532
Phone Number
773-782-0907
Fax Number
person
Provider Business Mailing Address Details
Address
880 Pin Oak Dr
City
Antioch
State
Tennessee
Zip
37013-1532
Phone Number
773-782-0907
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1000000025070 (Tennessee)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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