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Lanita Shavonn Granger, HOMECAREPROVIDER
Adult Care Home Facility in Meridian, Mississippi
NPI 1447906565

Lanita Shavonn Granger is an Adult Care Home Facility based in Meridian, MS and is specialized in Adult Care Home. Lanita Shavonn Granger practices in Meridian, MS and has the professional credentials of HOMECAREPROVIDER. The NPI Number for Lanita Shavonn Granger is 1447906565 and holds a License No. LCB20190000075 (Mississippi).

The current practice location address for Lanita Shavonn Granger is 314 43Rd Ave, Meridian, MS and can be reached out via phone at 601-678-9239 and via fax at 601-453-5920.

Location: 314 43Rd Ave, Meridian, MS, 39307-6800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447906565
Provider Name
Lanita Shavonn Granger
Credential
HOMECAREPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
314 43Rd Ave, Meridian, MS, 39307-6800
Phone Number
601-678-9239
Fax Number
601-453-5920
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
314 43Rd Ave
City
Meridian
State
Mississippi
Zip
39307-6800
Phone Number
601-678-9239
Fax Number
601-453-5920
person
Provider Business Mailing Address Details
Address
314 43Rd Ave
City
Meridian
State
Mississippi
Zip
39307-6800
Phone Number
601-678-9239
Fax Number
601-453-5920
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
LCB20190000075 (Mississippi)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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