Individual ProviderDuane C BroadnaxCase Manager/Care CoordinatorOther Service ProvidersPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510(419) 517-7776PECOS EnrollmentBased on the most recent information from CMS, provider Duane C Broadnax 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 7 days ago.Profile DetailsProvider ID1497462337Provider TypeIndividualFull NameBroadnax, Duane CCredentialQMHSGenderMaleSole ProprietorNoEnumeration Date10/31/2022Last Updated10/31/2022Contact InformationPractice LocationPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776FaxUnlisted FaxMailing LocationMailing Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer