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NPI Code Detail

MEDICARE: TAMMY GRANVILLE

MEDICARE: TAMMY GRANVILLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideLA

General Provider Information

NPI Number : 1871420620
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY GRANVILLE
Provider Business Mailing Address
First Line : 986 WOODVINE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-9234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 986 WOODVINE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-9234
Country : US
Telephone Number : 225-993-4835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ TAMMY GRANVILLE ” Practice Location

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