Individual ProviderStanley StarksCase Manager/Care CoordinatorOther Service ProvidersPractice Address5301 Nebraska Ave, Toledo, OH 43615-4632(419) 531-5544PECOS EnrollmentBased on the most recent information from CMS, provider Stanley Starks 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 ID1952954042Provider TypeIndividualFull NameStarks, StanleyTitleMr.GenderMaleSole ProprietorNoEnumeration Date7/18/2019Last Updated7/18/2019Contact InformationPractice LocationPractice Address5301 Nebraska Ave, Toledo, OH 43615-4632Phone(419) 531-5544Fax(419) 531-5117Mailing LocationMailing AddressPO Box 20068, Toledo, OH 43610-0068Phone(419) 531-5544Fax(419) 531-5117Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseCDCA.170622Ohio