Individual ProviderCharles Eugene McmillianCase Manager/Care CoordinatorOther Service ProvidersPractice Address2470 Wrondel Way # 275, Reno, NV 89502-3701(775) 336-2812(775) 200-3952PECOS EnrollmentBased on the most recent information from CMS, provider Charles Eugene Mcmillian 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 ID1053675470Provider TypeIndividualFull NameMcmillian, Charles EugeneGenderMaleSole ProprietorNoEnumeration Date6/29/2012Last Updated6/29/2012Contact InformationPractice LocationPractice Address2470 Wrondel Way # 275, Reno, NV 89502-3701Phone(775) 336-2812Fax(775) 336-1082Mailing LocationMailing Address3555 Carlos Ln Apt B, Reno, NV 89502-6822Phone(775) 200-3952FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer