Individual ProviderVinte ClemonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address600 N Olive St, Media, PA 19063-2418(610) 566-7540PECOS EnrollmentBased on the most recent information from CMS, provider Vinte Clemons 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 2 days ago.Profile DetailsProvider ID1003287319Provider TypeIndividualFull NameClemons, VinteGenderMaleSole ProprietorNoEnumeration Date10/13/2015Last Updated10/13/2015Contact InformationPractice LocationPractice Address600 N Olive St, Media, PA 19063-2418Phone(610) 566-7540FaxUnlisted FaxMailing LocationMailing Address600 N Olive St, Media, PA 19063-2418Phone(610) 566-7540FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer