Allen Smith | Toledo, OH • PECOS Search

Allen Smith

Community/Behavioral Health

Agencies

830 N Summit St Ste 2, Toledo, OH 43604-1884

PECOS Enrollment

Based on the most recent information from CMS, provider Allen Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366935751
Provider Type
Individual
Full Name
Smith, Allen
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/11/2018
Last Updated
6/11/2018

Contact Information

Practice Location

830 N Summit St Ste 2, Toledo, OH 43604-1884

Unlisted Fax

Mailing Location

830 N Summit St Ste 2, Toledo, OH 43604-1884

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer