Provider Demographics
NPI:1831961861
Name:HALL, DASHAWN MISCHELLE
Entity type:Individual
Prefix:
First Name:DASHAWN
Middle Name:MISCHELLE
Last Name:HALL
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 1:8243 HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1643
Mailing Address - Country:US
Mailing Address - Phone:313-673-3014
Mailing Address - Fax:
Practice Address - Street 1:8243 HUNTINGTON ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1643
Practice Address - Country:US
Practice Address - Phone:313-673-3014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant