Individual provider · Type 1 NPI
Tequila S. Gordon-Jones
Nursing Home Administrator · Marion, SC
NPI number
1043951569
Active
Practice location
408 Geneva Ave
Marion, SC 29571-5336
Mailing address
3110 Greystone Dr
Florence, SC 29501-7030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | 123577C14 (SC) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1043951569
Tequila S. Gordon-Jones's National Provider Identifier is 1043951569, issued on Apr 6, 2022. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Marion, SC. The record was last updated on Apr 6, 2022.