Individual
ILENE SHUMAKER GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 OAK TREE LN, LAKELAND, FL 33810
(863) 709-6569
Mailing address
2930 OAK TREE LN, LAKELAND, FL 33810-2655
(863) 709-6569
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
CNA105452
FL
Other
Enumeration date
05/22/2015
Last updated
01/09/2020
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