Individual ProviderLenora FullerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2280 E Grand River Ave, Howell, MI 48843-8503(517) 546-4126(517) 548-0081PECOS EnrollmentBased on the most recent information from CMS, provider Lenora Fuller is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073850509Provider TypeIndividualFull NameFuller, LenoraGenderFemaleSole ProprietorNoEnumeration Date1/3/2013Last Updated1/3/2013Contact InformationPractice LocationPractice Address2280 E Grand River Ave, Howell, MI 48843-8503Phone(517) 546-4126Fax(517) 546-1300Mailing LocationMailing Address622 E Grand River Ave, Howell, MI 48843-2329Phone(517) 548-0081Fax(517) 548-0498Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801092517Michigan