Individual
SHANITTA KENYETTA GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME CARE LLC
Contact information
Practice address
1227 ARIANA ST, LAKELAND, FL 33803-1814
(813) 638-3463
Mailing address
1227 ARIANA ST, LAKELAND, FL 33803-1814
(813) 638-3463
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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