Provider Demographics
NPI:1336816537
Name:GOLIDAY, DELILAH L
Entity Type:Individual
Prefix:
First Name:DELILAH
Middle Name:L
Last Name:GOLIDAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23862 E NEWELL CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2254
Mailing Address - Country:US
Mailing Address - Phone:313-759-5529
Mailing Address - Fax:
Practice Address - Street 1:2990 PASADENA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-2718
Practice Address - Country:US
Practice Address - Phone:313-759-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty