Individual ProviderAmani AtallahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Avenue/Na-23, Cleveland, OH 44195(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Amani Atallah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447978838Provider TypeIndividualFull NameAtallah, AmaniGenderFemaleSole ProprietorYesEnumeration Date8/22/2022Last Updated8/22/2022Contact InformationPractice LocationPractice Address9500 Euclid Avenue/Na-23, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Avenue/Na-23, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer