Individual ProviderHelen LoliStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-7279PECOS EnrollmentBased on the most recent information from CMS, provider Helen Loli 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 1:10 PM.Profile DetailsProvider ID1407559875Provider TypeIndividualFull NameLoli, HelenGenderFemaleSole ProprietorYesEnumeration Date3/24/2023Last Updated3/24/2023Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-7279FaxUnlisted FaxMailing LocationMailing Address5110 N 31st Way Unit 327, Phoenix, AZ 85016-4515PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer