Individual ProviderLee J GuardiolaCommunity/Behavioral HealthAgenciesPractice Address1832 Adams St, Toledo, OH 43604-4428(419) 720-9247(419) 330-5122PECOS EnrollmentBased on the most recent information from CMS, provider Lee J Guardiola 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 ID1093210726Provider TypeIndividualFull NameGuardiola, Lee JCredentialQMHSGenderFemaleSole ProprietorYesEnumeration Date3/26/2018Last Updated3/26/2018Contact InformationPractice LocationPractice Address1832 Adams St, Toledo, OH 43604-4428Phone(419) 720-9247FaxUnlisted FaxMailing LocationMailing Address885 Commerce Dr, Perrysburg, OH 43551-5267Phone(419) 330-5122FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer