Individual ProviderDaphney MyrtilStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Wyoming St,, Che 7th Floor, Dayton, OH 45409(937) 208-2485(718) 208-9397PECOS EnrollmentBased on the most recent information from CMS, provider Daphney Myrtil is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1790003200Provider TypeIndividualFull NameMyrtil, DaphneyGenderFemaleSole ProprietorYesEnumeration Date5/7/2010Last Updated2/4/2016Contact InformationPractice LocationPractice Address1 Wyoming St,, Che 7th Floor, Dayton, OH 45409Phone(937) 208-2485FaxUnlisted FaxMailing LocationMailing Address310 E 500 S, Apt 419, Slc, UT 84111-3361Phone(718) 208-9397FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer