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

MRS. SHANDRA R PETTWAY

Active Sole Proprietor

MRS. SHANDRA R PETTWAY is a Home Health healthcare provider located in CANTON, Michigan. NPI 1861239352 is currently active in the NPPES registry. Verify at CMS.

Home Health · CANTON, MI

Registration Details

NPI Number
1861239352
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2024 (2.098058070547 yrs)
Last Updated
May 3, 2025
Sole Proprietor
Yes

Practice Information

Address
1709 LIBERTY ST N
CANTON, MI, 481888002
Browse MI providers · Browse ZIP 48188
Phone
7342102507
Primary Specialty
Home Health
251E00000X

Other Home Health Providers in CANTON, MI

Name Credential NPI
MR. CAJETAN KIMFON 1043734502
SHARRON GENEVA DAVIS HOME CARE PROVIDER 1003374729
MRS. IQRA TAYAB 1659123313
NEDRA HOGAN 1154168649
SHANDA MARIE PATTERSON 1518752005
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.