Individual ProviderKellie N. EvelandCommunity/Behavioral HealthAgenciesPractice Address1832 Adams St, Toledo, OH 43604-4428(419) 720-9247(419) 330-5122PECOS EnrollmentBased on the most recent information from CMS, provider Kellie N. Eveland 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 10:34 AM.Profile DetailsProvider ID1154807212Provider TypeIndividualFull NameEveland, Kellie N.CredentialLSWGenderFemaleSole ProprietorYesEnumeration Date7/12/2018Last Updated7/12/2018Contact 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