Individual ProviderKeely Marie GalluzzoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4629 Aicholtz Rd, Cincinnati, OH 45244-1551(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Keely Marie Galluzzo 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 2 days ago.Profile DetailsProvider ID1003307323Provider TypeIndividualFull NameGalluzzo, Keely MarieCredentialMSW, LSWGenderFemaleSole ProprietorNoEnumeration Date5/22/2018Last Updated7/17/2019Contact InformationPractice LocationPractice Address4629 Aicholtz Rd, Cincinnati, OH 45244-1551Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447Phone(513) 752-1555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer