Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harley Jack

Individual provider Case Manager/Care Coordinator · NPI 1366233421

Harley Jack is a Case Manager/Care Coordinator in Niles, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

165 E Park Ave
Niles, OH 44446-2352
Phone: (330) 544-8005
Fax: (330) 544-9379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1366233421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address116 1/2 E North Ave, East Palestine, OH 44413-2164

Other providers in Niles