Individual ProviderQiana BohlenHome HealthAgenciesPractice Address9191 W Florissant Ave Ste 211, Saint Louis, MO 63136-1424(314) 455-4277PECOS EnrollmentBased on the most recent information from CMS, provider Qiana Bohlen 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 3 days ago.Profile DetailsProvider ID1710655865Provider TypeIndividualFull NameBohlen, QianaGenderFemaleSole ProprietorYesEnumeration Date9/2/2021Last Updated9/2/2021Contact InformationPractice LocationPractice Address9191 W Florissant Ave Ste 211, Saint Louis, MO 63136-1424Phone(314) 455-4277Fax(314) 455-3966Mailing LocationMailing Address9191 W Florissant Ave Ste 211, Saint Louis, MO 63136-1424Phone(314) 455-4277Fax(314) 455-3966Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted Issuer