Individual provider · Type 1 NPI

Shandra R. Pettway

Home Health Agency · Canton, MI

NPI number 1861239352 Active

Practice location

1709 Liberty St N
Canton, MI 48188-8002

Call (734) 210-2507 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed
Social Worker 104100000X6851121474 (MI)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1861239352

Shandra R. Pettway's National Provider Identifier is 1861239352, issued on Jul 11, 2024. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Canton, MI. The record was last updated on Jul 16, 2026.