Individual ProviderCallie Elizabeth BlandfordStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address53 Richland Ave, Grover Center E187, Athens, OH 45701-2745(407) 593-9497PECOS EnrollmentBased on the most recent information from CMS, provider Callie Elizabeth Blandford 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 ID1376317313Provider TypeIndividualFull NameBlandford, Callie ElizabethGenderFemaleSole ProprietorYesEnumeration Date11/9/2023Last Updated11/9/2023Contact InformationPractice LocationPractice Address53 Richland Ave, Grover Center E187, Athens, OH 45701-2745Phone(407) 593-9497FaxUnlisted FaxMailing LocationMailing Address363 Richland Ave Apt 106, Athens, OH 45701-3210PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode225500000XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer