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Mrs. Tonya R Drake
Nursing Home Administrator in Evergreen, North Carolina
NPI 1326632290

Tonya R Drake is a Nursing Home Administrator based in Evergreen, NC. Tonya R Drake practices in Evergreen, NC. The NPI Number for Tonya R Drake is 1326632290 and holds a License No. 3497 (North Carolina).

The current practice location address for Tonya R Drake is 123 Walter Shaw Rd, Evergreen, NC and can be reached out via phone at 504-376-7969.

Location: 123 Walter Shaw Rd, Evergreen, NC, 28438-9641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326632290
Provider Name
Tonya R Drake
Credential
Provider Entity Type
Individual
Gender
Female
Address
123 Walter Shaw Rd, Evergreen, NC, 28438-9641
Phone Number
504-376-7969
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Walter Shaw Rd
City
Evergreen
State
North Carolina
Zip
28438-9641
Phone Number
504-376-7969
Fax Number
person
Provider Business Mailing Address Details
Address
123 Walter Shaw Rd
City
Evergreen
State
North Carolina
Zip
28438-9641
Phone Number
504-376-7969
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
3497 (Louisiana)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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