Individual ProviderFonda RoysterCase Manager/Care CoordinatorOther Service ProvidersPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510(419) 517-7776PECOS EnrollmentBased on the most recent information from CMS, provider Fonda Royster 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 7 days ago.Profile DetailsProvider ID1720797509Provider TypeIndividualFull NameRoyster, FondaCredentialQMHSGenderFemaleSole ProprietorNoEnumeration Date11/21/2022Last Updated11/21/2022Contact InformationPractice LocationPractice Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776FaxUnlisted FaxMailing LocationMailing Address5650 W Central Ave Ste C1, Toledo, OH 43615-1510Phone(419) 517-7776FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer