Provider Demographics
NPI:1215168406
Name:TIFFANI JONES
Entity type:Organization
Organization Name:TIFFANI JONES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-741-5646
Mailing Address - Street 1:1329 SAVANNAH ST SE
Mailing Address - Street 2:#5
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-5003
Mailing Address - Country:US
Mailing Address - Phone:301-728-8964
Mailing Address - Fax:
Practice Address - Street 1:1329 SAVANNAH ST SE
Practice Address - Street 2:#5
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5003
Practice Address - Country:US
Practice Address - Phone:301-728-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty