Organization
BOLD SELAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE BOLDS MSW (PRESIDENT)
(845) 797-4177
Entity
Organization
Contact information
Practice address
394 LATTINTOWN RD, BASEMENT, MARLBORO, NY 12542-5507
(845) 797-4177
Mailing address
PO BOX 1, BEACON, NY 12508-0001
(845) 797-4177
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374J00000X
—
NY
Enumeration date
02/28/2014
Last updated
08/21/2016
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