Individual
SHANNA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(267) 237-2531
Mailing address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(267) 237-2531
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
47533601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103815747
—
PA
Enumeration date
10/15/2020
Last updated
10/15/2020
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