Individual ProviderJohanna AvillaCase Manager/Care CoordinatorOther Service ProvidersPractice Address115 S Main St Ste A, Opelousas, LA 70570-6133(337) 407-5060PECOS EnrollmentBased on the most recent information from CMS, provider Johanna Avilla 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 ID1013484575Provider TypeIndividualFull NameAvilla, JohannaGenderFemaleSole ProprietorYesEnumeration Date11/1/2018Last Updated1/14/2020Contact InformationPractice LocationPractice Address115 S Main St Ste A, Opelousas, LA 70570-6133Phone(337) 407-5060Fax(337) 407-5104Mailing LocationMailing Address115 S Main St Ste A, Opelousas, LA 70570-6133Phone(337) 407-5060Fax(337) 407-5104Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer