Dergaso Larsen
Dergaso Larsen is a Personal Care Attendant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2026.
- Licensed in
- MI
- In the registry since
- 2026
Practice location Address checks out
4218 Burton St SEGrand Rapids, MI 49546-6121
Phone: (616) 301-8000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence 900000230861 (MI) |
|---|
Record details
| NPI number | 1629995691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 1, 2026 |
| Last updated in NPPES | July 1, 2026 |
| Certification date | July 1, 2026 |
| Mailing address | 4218 Burton St Se, Grand Rapids, MI 49546-6121 |
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