JALA PETTAWAY

PERRYSBURG, OH
NPI1174118921
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-03-03
Last Update Date2022-03-28
Business Address
JALA PETTAWAY
900 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551-5230
Phone number: 419-419-6211
Mailing Address
JALA PETTAWAY
900 W SOUTH BOUNDARY ST BLDG 6
PERRYSBURG, OH 43551-5235
Phone number:
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