Provider Demographics
NPI:1780927764
Name:TORAIN, TONYA V
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:V
Last Name:TORAIN
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 1:208 GILMER ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-4051
Mailing Address - Country:US
Mailing Address - Phone:336-395-8623
Mailing Address - Fax:336-395-8856
Practice Address - Street 1:208 GILMER ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-4051
Practice Address - Country:US
Practice Address - Phone:336-395-8623
Practice Address - Fax:336-395-8856
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-001-146310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility