Paul Rudy Juarez | Lancaster, CA • PECOS Search

Paul Rudy Juarez

Case Manager/Care Coordinator

Other Service Providers

506 W Jackman, Lancaster, CA 93534

(661) 726-2850 (818) 521-7432

PECOS Enrollment

Based on the most recent information from CMS, provider Paul Rudy Juarez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023257227
Provider Type
Individual
Full Name
Juarez, Paul Rudy
Gender
Male

Sole Proprietor
No
Enumeration Date
2/11/2009
Last Updated
2/11/2009

Contact Information

Practice Location

506 W Jackman, Lancaster, CA 93534

Unlisted Fax

Mailing Location

1332 Rosamond Blvd, Apt 30, Rosamond, CA 93560

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer