Individual ProviderJala JohnsonCase Manager/Care CoordinatorOther Service ProvidersPractice Address111 S Byrne Rd, Toledo, OH 43615-6212(419) 531-5544PECOS EnrollmentBased on the most recent information from CMS, provider Jala Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1790543387Provider TypeIndividualFull NameJohnson, JalaGenderFemaleSole ProprietorNoEnumeration Date3/8/2024Last Updated3/8/2024Contact InformationPractice LocationPractice Address111 S Byrne Rd, Toledo, OH 43615-6212Phone(419) 531-5544Fax(419) 531-5117Mailing LocationMailing Address111 S Byrne Rd, Toledo, OH 43615-6212Phone(419) 531-5544Fax(419) 531-5117Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer