Individual ProviderMattie ManuelNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address2701 Stanberry Dr Apt 8, Shreveport, LA 71118-3253(318) 280-1073PECOS EnrollmentBased on the most recent information from CMS, provider Mattie Manuel 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 12:57 PM.Profile DetailsProvider ID1033456223Provider TypeIndividualFull NameManuel, MattieGenderFemaleSole ProprietorYesEnumeration Date1/9/2013Last Updated1/9/2013Contact InformationPractice LocationPractice Address2701 Stanberry Dr Apt 8, Shreveport, LA 71118-3253Phone(318) 280-1073FaxUnlisted FaxMailing LocationMailing Address2701 Stanberry Dr Apt 8, Shreveport, LA 71118-3253Phone(318) 280-1073FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted IssuerLouisiana