Madison Mackenzie Roush | Howell, MI • PECOS Search

Madison Mackenzie Roush

Social Worker

Behavioral Health & Social Service Providers

2280 E Grand River Ave, Howell, MI 48843-8503

(517) 546-4126 (248) 804-3122

PECOS Enrollment

Based on the most recent information from CMS, provider Madison Mackenzie Roush 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1619594892
Provider Type
Individual
Full Name
Roush, Madison Mackenzie
Gender
Female

Sole Proprietor
No
Enumeration Date
7/3/2020
Last Updated
7/3/2020

Contact Information

Practice Location

2280 E Grand River Ave, Howell, MI 48843-8503

Unlisted Fax

Mailing Location

59764 Barkley Dr, New Hudson, MI 48165-9659

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6802090870 Michigan