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

Mrs. Shandra R Pettway

Individual provider Home Health Agency · NPI 1861239352

Mrs. Shandra R Pettway is a Home Health Agency in Canton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1709 Liberty St N
Canton, MI 48188-8002
Phone: (734) 210-2507
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Social Worker Taxonomy 104100000X · Licence 6851121474 (MI)

Record details

NPI number1861239352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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