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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DORTHIE BOLDEN

Active Sole Proprietor

DORTHIE BOLDEN is a Foster Care Agency healthcare provider located in SOUTH HAVEN, Michigan. NPI 1235789553 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · SOUTH HAVEN, MI

Registration Details

NPI Number
1235789553
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2019 (6.9304967517453 yrs)
Last Updated
Sep 18, 2019
License
AS030399514 (MI)
Sole Proprietor
Yes

Practice Information

Address
7027 BASELINE RD
SOUTH HAVEN, MI, 490908338
Browse MI providers · Browse ZIP 49090
Phone
2692142142
Primary Specialty
Foster Care Agency
253J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.