Provider Demographics
NPI:1942544499
Name:CRAWLEY, TONIA CATRICE
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:CATRICE
Last Name:CRAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 CLIFFORD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-5175
Mailing Address - Country:US
Mailing Address - Phone:919-638-9665
Mailing Address - Fax:866-762-2569
Practice Address - Street 1:1607 AMBERLY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-5109
Practice Address - Country:US
Practice Address - Phone:919-638-9665
Practice Address - Fax:866-762-2569
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home