Individual ProviderSamantha Nicole TwiningStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address53 Richland Ave, Athens, OH 45701-2745(740) 593-4000(440) 310-2234PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Nicole Twining 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 10:10 AM.Profile DetailsProvider ID1295200764Provider TypeIndividualFull NameTwining, Samantha NicoleCredentialATSGenderFemaleSole ProprietorNoEnumeration Date10/10/2018Last Updated10/10/2018Contact InformationPractice LocationPractice Address53 Richland Ave, Athens, OH 45701-2745Phone(740) 593-4000FaxUnlisted FaxMailing LocationMailing Address346 Georgia Ave, Elyria, OH 44035-7132Phone(440) 310-2234FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerOhio