Individual ProviderCody S. PaulStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3065 Arlington Ave, Toledo, OH 43614-2570(419) 383-5090(734) 655-4800PECOS EnrollmentThis provider is enrolled in PECOS as CODY PAUL.Based on the most recent information from CMS, provider Cody S. Paul is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1447909205Provider TypeIndividualFull NamePaul, Cody S.GenderMaleSole ProprietorYesEnumeration Date3/21/2022Last Updated6/6/2023Contact InformationPractice LocationPractice Address3065 Arlington Ave, Toledo, OH 43614-2570Phone(419) 383-5090Fax(419) 383-3596Mailing LocationMailing Address36475 Five Mile Rd, Livonia, MI 48154-1971Phone(734) 655-4800Fax(734) 655-2911Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer