Charles Steven Boody | Lancaster, NY • PECOS Search

Charles Steven Boody

Licensed Practical Nurse

Nursing Service Providers

3639 Bowen Rd, Lancaster, NY 14086-9432

PECOS Enrollment

Based on the most recent information from CMS, provider Charles Steven Boody does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619422045
Provider Type
Individual
Full Name
Boody, Charles Steven
Title
Mr.
Credential
L.P.N.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/15/2016
Last Updated
8/15/2016

Contact Information

Practice Location

3639 Bowen Rd, Lancaster, NY 14086-9432

Unlisted Fax

Mailing Location

3639 Bowen Rd, Lancaster, NY 14086-9432

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 324305 New York