Individual ProviderOlivia GozaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address38882 Mentor Ave, Willoughby, OH 44094-7875(440) 953-9999PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Goza is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1992213391Provider TypeIndividualFull NameGoza, OliviaGenderFemaleSole ProprietorYesEnumeration Date1/19/2018Last Updated12/19/2022Contact InformationPractice LocationPractice Address38882 Mentor Ave, Willoughby, OH 44094-7875Phone(440) 953-9999FaxUnlisted FaxMailing LocationMailing Address38882 Mentor Ave, Willoughby, OH 44094-7875Phone(440) 953-9999FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense255588KentuckyCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.1801311Ohio