Individual ProviderLogan James DevosCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 531-3500PECOS EnrollmentBased on the most recent information from CMS, provider Logan James Devos 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 4 days ago.Profile DetailsProvider ID1245765890Provider TypeIndividualFull NameDevos, Logan JamesTitleMr.CredentialB.S.GenderMaleSole ProprietorNoEnumeration Date4/20/2017Last Updated4/20/2017Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500FaxUnlisted FaxMailing LocationMailing Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer