Individual ProviderRandall MckinneyCase Manager/Care CoordinatorOther Service ProvidersPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510(419) 517-7776PECOS EnrollmentBased on the most recent information from CMS, provider Randall Mckinney 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 ID1053037242Provider TypeIndividualFull NameMckinney, RandallCredentialQMHSGenderMaleSole ProprietorNoEnumeration Date10/18/2022Last Updated10/18/2022Contact InformationPractice LocationPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776Fax(419) 517-4091Mailing LocationMailing Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776Fax(419) 517-4091Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer