OrganizationKelly A Grocoff Llc(<Unavail>)Social WorkerBehavioral Health & Social Service ProvidersPractice Address122 S Main St Ste 360a, Ann Arbor, MI 48104-1932(734) 926-5366PECOS EnrollmentBased on the most recent information from CMS, provider Kelly A Grocoff Llc 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 9:43 AM.Profile DetailsProvider ID1497382857Provider TypeOrganizationFull NameKelly A Grocoff LlcOther Name<Unavail>SubpartNoEnumeration Date3/25/2020Last Updated5/5/2020Contact InformationPractice LocationPractice Address122 S Main St Ste 360a, Ann Arbor, MI 48104-1932Phone(734) 926-5366FaxUnlisted FaxMailing LocationMailing Address122 S Main St Ste 360a, Ann Arbor, MI 48104-1932Phone(734) 926-5366FaxUnlisted FaxAuthorized OfficialNameGrocoff, Kelly (Owner)Phone(734) 272-5813Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDP140669DescriptionOtherIssuerBLUE CROSS BLUE SHIELD OF MICHIGANMichigan