Individual ProviderCharles GrymkoCase Manager/Care CoordinatorOther Service ProvidersPractice Address2325 Cerrillos Road, Santa Fe, NM 87505(505) 438-0010PECOS EnrollmentBased on the most recent information from CMS, provider Charles Grymko 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 yesterday at 9:43 AM.Profile DetailsProvider ID1790201721Provider TypeIndividualFull NameGrymko, CharlesGenderMaleSole ProprietorYesEnumeration Date8/22/2017Last Updated8/22/2017Contact InformationPractice LocationPractice Address2325 Cerrillos Road, Santa Fe, NM 87505Phone(505) 438-0010Fax(505) 438-6011Mailing LocationMailing Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373Phone(505) 438-0010Fax(505) 438-6011Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerNew Mexico