Individual ProviderMalcolm BanksCase Manager/Care CoordinatorOther Service ProvidersPractice Address5301 Nebraska Ave., New Concepts, Toledo, OH 43615(419) 206-0171(419) 531-5544PECOS EnrollmentBased on the most recent information from CMS, provider Malcolm Banks 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 ID1518507219Provider TypeIndividualFull NameBanks, MalcolmTitleMr.CredentialCDCAGenderMaleSole ProprietorNoEnumeration Date1/10/2020Last Updated1/10/2020Contact InformationPractice LocationPractice Address5301 Nebraska Ave., New Concepts, Toledo, OH 43615Phone(419) 206-0171FaxUnlisted FaxMailing LocationMailing AddressPO Box 20068, Toledo, OH 43610-0068Phone(419) 531-5544FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseCDCA.172408Ohio