Individual ProviderRyan Dale HofferSocial WorkerBehavioral Health & Social Service ProvidersPractice Address625 E Liberty St Ste 205, Ann Arbor, MI 48104-2013(616) 502-9940PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Dale Hoffer 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 yesterday at 9:43 AM.Profile DetailsProvider ID1114407236Provider TypeIndividualFull NameHoffer, Ryan DaleGenderMaleSole ProprietorNoEnumeration Date8/17/2018Last Updated10/1/2020Contact InformationPractice LocationPractice Address625 E Liberty St Ste 205, Ann Arbor, MI 48104-2013Phone(616) 502-9940FaxUnlisted FaxMailing LocationMailing Address625 E Liberty St Ste 205, Ann Arbor, MI 48104-2013Phone(616) 502-9940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801108147MichiganCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801103006Michigan