IndividualActive
Lanita Granger, HOMECARE PROVIDER
NPI 1447906565 · Adult Care Home Facility · Meridian, MS
Provider details
- NPI number
- 1447906565
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Credential
- HOMECARE PROVIDER
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCB20190000075 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing Service Related Providers
Practice location
314 43rd Ave
Meridian, MS 39307-6800
Phone: (601) 678-9239
Fax: (601) 453-5920
Approximate (ZIP-level) locationGet directions
Mailing address
314 43rd Ave
Meridian, MS 39307-6800
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.