Individual ProviderRyan WadeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address122 S Main St Ste 200, Ann Arbor, MI 48104-1925(734) 846-1259PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Wade 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 9:43 AM.Profile DetailsProvider ID1295263200Provider TypeIndividualFull NameWade, RyanCredentialLLMSWGenderMaleSole ProprietorYesEnumeration Date6/3/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address122 S Main St Ste 200, Ann Arbor, MI 48104-1925Phone(734) 846-1259Fax(734) 207-5326Mailing LocationMailing Address122 S Main St Ste 200, Ann Arbor, MI 48104-1925Phone(734) 846-1259Fax(734) 207-5326Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801100807Michigan