Individual ProviderMaribeth HonomichlSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2104 Northdale Blvd NW, 100, Coon Rapids, MN 55433-3028(763) 767-7107PECOS EnrollmentBased on the most recent information from CMS, provider Maribeth Honomichl 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 9:15 AM.Profile DetailsProvider ID1497143994Provider TypeIndividualFull NameHonomichl, MaribethCredentialATGenderFemaleSole ProprietorNoEnumeration Date1/6/2015Last Updated1/6/2015Contact InformationPractice LocationPractice Address2104 Northdale Blvd NW, 100, Coon Rapids, MN 55433-3028Phone(763) 767-7107FaxUnlisted FaxMailing LocationMailing Address2104 Northdale Blvd NW, 100, Coon Rapids, MN 55433-3028Phone(763) 767-7107FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer