Individual
MRS. DESHAWN DENISE BOLDER-CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA CAREGIVER
Contact information
Practice address
38757 DONALD ST, LIVONIA, MI 48154-4709
(734) 744-7277
(734) 744-7015
Mailing address
38757 DONALD ST, LIVONIA, MI 48154-4709
(734) 744-7277
(734) 744-7015
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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