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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JALA PETTAWAY

Active Sole Proprietor

JALA PETTAWAY is a Case Manager healthcare provider located in PERRYSBURG, Ohio. NPI 1174118921 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PERRYSBURG, OH

Registration Details

NPI Number
1174118921
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2021 (5.4742911056725 yrs)
Last Updated
Mar 28, 2022
Sole Proprietor
Yes

Practice Information

Address
900 W SOUTH BOUNDARY ST
PERRYSBURG, OH, 435515230
Browse OH providers · Browse ZIP 43551
Phone
4194196211
Fax
4194196231
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in PERRYSBURG, OH

Name Credential NPI
ALDENA K SWEENEY LCDCIII 1124284930
SHAVON WILLIAMS 1821528365
BETH BLOOMFIELD CDCA 1609375443
IMILIE MARIE SPEAKMAN 1487298824
MARWA ABDEL-MAGUID 1336759547
ASTASHA PERRINE 1053925362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.