Individual ProviderSelena TahaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3333 Glendale Ave, Toledo, OH 43614-2426(419) 383-5555PECOS EnrollmentBased on the most recent information from CMS, provider Selena Taha 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 today at 11:36 AM.Profile DetailsProvider ID1700637253Provider TypeIndividualFull NameTaha, SelenaCredentialMDGenderFemaleSole ProprietorYesEnumeration Date4/1/2024Last Updated4/17/2024Contact InformationPractice LocationPractice Address3333 Glendale Ave, Toledo, OH 43614-2426Phone(419) 383-5555Fax(419) 383-3113Mailing LocationMailing Address3333 Glendale Ave, Toledo, OH 43614-2426Phone(419) 383-5555Fax(419) 383-3113Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer