Individual provider · NPI-1

Deshawn Denise Bolder-Carr, hha caregiver

Home Health Aide · Livonia, MI

NPI number1962795419

StatusActive

Last updated in NPPESMay 17, 2011

Details

NPI: 1962795419
Entity type: Individual (NPI-1)
Name: Mrs. Deshawn Denise Bolder-Carr
Credential: hha caregiver
Sex: Female
Sole proprietor: Yes
Enumeration date: May 17, 2011
Last updated: May 17, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	–	–	Yes
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–

Practice location

38757 Donald St
Livonia, MI 48154-4709

Phone 734-744-7277 · Fax 734-744-7015

Mailing address

38757 Donald St
Livonia, MI 48154-4709

Phone 734-744-7277 · Fax 734-744-7015

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