NPI 1447906565

Lanita Shavonn Granger, HOMECAREPROVIDER

Practitioner Adult Care Home Facility Meridian, MS

Practice location

Address: 314 43rd Ave, Meridian, MS 39307-6800
Phone: (601) 678-9239
Fax: (601) 453-5920

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Mississippi →

Homemaker

Nursing Service Related Providers Taxonomy 376J00000X Licence LCB20190000075 (MS)

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Registry record

NPI: 1447906565
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2022
Record last updated: 8 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.