Individual ProviderMatthew Maximino BouseSocial WorkerBehavioral Health & Social Service ProvidersPractice Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017(734) 999-0013PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Maximino Bouse 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 ID1578195137Provider TypeIndividualFull NameBouse, Matthew MaximinoTitleMr.CredentialLMSWGenderMaleSole ProprietorYesEnumeration Date2/11/2020Last Updated12/9/2024Contact InformationPractice LocationPractice Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017Phone(734) 999-0013FaxUnlisted FaxMailing LocationMailing Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017Phone(734) 999-0013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801115995Michigan