Individual provider · Type 1 NPI

Shanike M. Boulware

Attendant Care Provider · Washington, DC

NPI number 1124717673 Active

Practice location

4638 H St SE Apt 207
Washington, DC 20019-4987

Mailing address

3534 E Capitol St NE Apt 428
Washington, DC 20019-1228

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1124717673

Shanike M. Boulware's National Provider Identifier is 1124717673, issued on May 2, 2023. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Washington, DC. The record was last updated on May 2, 2023.