Raymond Bonds

Individual provider Active NPI Personal Care Attendant · Southgate, MI

NPI 1992039697 · NPPES record last updated Sep 28, 2009

Key facts

NPI
1992039697
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
19401 Northline Rd
Southgate, MI 48195-2277
Phone
(734) 785-7718
NPI assigned
Sep 28, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

19401 Northline Rd
Southgate, MI 48195-2277

Mailing address

30225 Young Dr
Gibraltar, MI 48173-9457

Other providers in Southgate, MI

All providers in Southgate, MI · Personal Care Attendant in Michigan

Sources for this page

Verify at the official NPI Registry.