IndividualActive
Jonathan Walls
NPI 1942012174 · Personal Care Attendant · Windham, OH
Provider details
- NPI number
- 1942012174
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 111111 (OH)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7763 State Route 303
Windham, OH 44288-9791
Phone: (330) 442-2813
Approximate (ZIP-level) locationGet directions
Mailing address
7763 State Route 303
Windham, OH 44288-9791
Registry dates
- Enumerated
- 2025-01-24
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.