OrganizationTyeisha Parks(<Unavail>)Community/Behavioral HealthAgenciesPractice Address500 Madison Ave Ste 200, Toledo, OH 43604-1230(614) 597-9161PECOS EnrollmentBased on the most recent information from CMS, provider Tyeisha Parks 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 10:34 AM.Profile DetailsProvider ID1376377432Provider TypeOrganizationFull NameTyeisha ParksOther Name<Unavail>SubpartNoEnumeration Date8/29/2024Last Updated1/22/2025Contact InformationPractice LocationPractice Address500 Madison Ave Ste 200, Toledo, OH 43604-1230Phone(614) 597-9161FaxUnlisted FaxMailing LocationMailing Address5679 Sutterton Ln, Westerville, OH 43081-5230Phone(614) 597-9161FaxUnlisted FaxAuthorized OfficialNameParks, Tyeisha (Owner)Phone(614) 597-9161Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer