OrganizationDiabetic Health, Inc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address509 Memorial Dr, Suite 2, Manchester, KY 40962-6195(606) 598-8813PECOS EnrollmentBased on the most recent information from CMS, provider Diabetic Health, Inc. 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 today at 11:36 AM.Profile DetailsProvider ID1275856247Provider TypeOrganizationFull NameDiabetic Health, Inc.SubpartNoEnumeration Date3/5/2010Last Updated10/24/2013Contact InformationPractice LocationPractice Address509 Memorial Dr, Suite 2, Manchester, KY 40962-6195Phone(606) 598-8813Fax(606) 598-0983Mailing LocationMailing Address509 Memorial Dr, Manchester, KY 40962-6195Phone(606) 598-8813Fax(606) 598-0983Authorized OfficialNameSpady, Steven D (Owner)Phone(606) 598-8813Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode163WD0400XDescriptionRegistered NurseNursing Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID710016290DescriptionMedicaidIssuerUnlistedKentuckyID000000672417DescriptionOtherIssuerANTHEM BLUE CROSS BLUE SHIELDKentucky