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Individual

HAMELMAL S ADMASSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
880 PIN OAK DR, ANTIOCH, TN 37013-1532
(773) 782-0907
Mailing address
737 SAPPHIRE DR, MURFREESBORO, TN 37128-0654
(773) 782-0907

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1000000025070
TN

Other

Enumeration date
10/03/2019
Last updated
10/03/2019
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