LANITA SHAVONN GRANGER

MERIDIAN, MS
NPI1447906565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Additional Taxonomies376J00000X Homemaker
(Licence: MS  LCB20190000075)
Enumeration Date2022-02-28
Last Update Date2024-02-08
Business Address
LANITA SHAVONN GRANGER Homecare Provider
314 43RD AVE
MERIDIAN, MS 39307-6800
Phone number: 601-678-9239
Mailing Address
LANITA SHAVONN GRANGER Homecare Provider
314 43RD AVE
MERIDIAN, MS 39307-6800
Phone number: 601-678-9239