Individual ProviderHayden Guye LewisCase Manager/Care CoordinatorOther Service ProvidersPractice Address6602 Dorr St Apt 204, Toledo, OH 43615-4238(240) 644-7366PECOS EnrollmentBased on the most recent information from CMS, provider Hayden Guye Lewis 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 ID1144744665Provider TypeIndividualFull NameLewis, Hayden GuyeTitleMr.CredentialCDCAGenderMaleSole ProprietorYesEnumeration Date7/26/2017Last Updated7/26/2017Contact InformationPractice LocationPractice Address6602 Dorr St Apt 204, Toledo, OH 43615-4238Phone(240) 644-7366FaxUnlisted FaxMailing LocationMailing Address6602 Dorr St Apt 204, Toledo, OH 43615-4238Phone(240) 644-7366FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerOhio