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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANITA SHAVONN GRANGER, HOMECARE PROVIDER

Active Sole Proprietor

LANITA SHAVONN GRANGER, HOMECARE PROVIDER is a Assisted Living Facility healthcare provider located in MERIDIAN, Mississippi. NPI 1447906565 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · MERIDIAN, MS

Registration Details

NPI Number
1447906565
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2022 (4.4744363465428 yrs)
Last Updated
Feb 8, 2024
License
LCB20190000075 (MS)
Sole Proprietor
Yes

Practice Information

Address
314 43RD AVE
MERIDIAN, MS, 393076800
Browse MS providers · Browse ZIP 39307
Phone
6016789239
Fax
6014535920
Primary Specialty
Assisted Living Facility
311ZA0620X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.