Provider Demographics
NPI:1447916564
Name:SINGLETON, CARLA LASHAWN
Entity type:Individual
Prefix:MR
First Name:CARLA
Middle Name:LASHAWN
Last Name:SINGLETON
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 1:20224 STEEL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1194
Mailing Address - Country:US
Mailing Address - Phone:313-772-3855
Mailing Address - Fax:313-646-2972
Practice Address - Street 1:20224 STEEL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1194
Practice Address - Country:US
Practice Address - Phone:313-772-3855
Practice Address - Fax:313-646-2972
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
MI374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide