Individual ProviderKhary CarsonCase Manager/Care CoordinatorOther Service ProvidersPractice Address5301 Nebraska Ave, Toledo, OH 43615-4632(419) 531-5544PECOS EnrollmentBased on the most recent information from CMS, provider Khary Carson 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 ID1154811586Provider TypeIndividualFull NameCarson, KharyTitleMr.CredentialCDCAGenderMaleSole ProprietorNoEnumeration Date5/10/2018Last Updated5/10/2018Contact InformationPractice LocationPractice Address5301 Nebraska Ave, Toledo, OH 43615-4632Phone(419) 531-5544Fax(419) 531-5117Mailing LocationMailing AddressPO Box 20068, Toledo, OH 43610-0068PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseCDCA.140443Ohio