Individual ProviderAngela R GreenCommunity/Behavioral HealthAgenciesPractice Address1832 Adams St, Toledo, OH 43604-4428(419) 720-9247(419) 330-5119PECOS EnrollmentBased on the most recent information from CMS, provider Angela R Green 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 10:34 AM.Profile DetailsProvider ID1528613809Provider TypeIndividualFull NameGreen, Angela RCredentialLSWGenderFemaleSole ProprietorYesEnumeration Date8/5/2019Last Updated8/7/2020Contact InformationPractice LocationPractice Address1832 Adams St, Toledo, OH 43604-4428Phone(419) 720-9247FaxUnlisted FaxMailing LocationMailing Address885 Commerce Dr, Perrysburg, OH 43551-5267Phone(419) 330-5119FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer