Individual ProviderPatricia PradoCase Manager/Care CoordinatorOther Service ProvidersPractice Address45111 N Fern Ave, Lancaster, CA 93534(661) 949-1206PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Prado 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 ID1033238985Provider TypeIndividualFull NamePrado, PatriciaGenderFemaleSole ProprietorNoEnumeration Date3/29/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address45111 N Fern Ave, Lancaster, CA 93534Phone(661) 949-1206FaxUnlisted FaxMailing LocationMailing Address41512 Prairievista Pl, Quartz Hill, CA 93536-2549PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer