Steven Jordan Parks | Toledo, OH • PECOS Search

Steven Jordan Parks

Case Manager/Care Coordinator

Other Service Providers

5650 W Central Ave Ste D4, Toledo, OH 43615-1526

PECOS Enrollment

Based on the most recent information from CMS, provider Steven Jordan Parks 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 7 days ago.

Profile Details

Provider ID
1407626161
Provider Type
Individual
Full Name
Parks, Steven Jordan
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/4/2024
Last Updated
1/4/2024

Contact Information

Practice Location

5650 W Central Ave Ste D4, Toledo, OH 43615-1526

Unlisted Fax

Mailing Location

5650 W Central Ave Ste D4, Toledo, OH 43615-1526

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer