Provider Demographics
NPI:1053082719
Name:TONJA'S OPEN ARMS LLC
Entity type:Organization
Organization Name:TONJA'S OPEN ARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONJA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-321-5771
Mailing Address - Street 1:1979 RIVERSIDE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-1333
Mailing Address - Country:US
Mailing Address - Phone:478-219-9327
Mailing Address - Fax:478-219-9328
Practice Address - Street 1:1979 RIVERSIDE DR STE 220
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1333
Practice Address - Country:US
Practice Address - Phone:478-219-9327
Practice Address - Fax:478-219-9328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care