Individual ProviderSarai TysonCommunity/Behavioral HealthAgenciesPractice Address1832 Adams St, Toledo, OH 43604-4428(419) 720-9247PECOS EnrollmentBased on the most recent information from CMS, provider Sarai Tyson 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 ID1164020913Provider TypeIndividualFull NameTyson, SaraiGenderFemaleSole ProprietorYesEnumeration Date10/14/2020Last Updated10/14/2020Contact InformationPractice LocationPractice Address1832 Adams St, Toledo, OH 43604-4428Phone(419) 720-9247FaxUnlisted FaxMailing LocationMailing Address849 Napoleon Rd, Bowling Green, OH 43402-4801PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer