Individual ProviderNichell LatimoreCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 989-1093PECOS EnrollmentBased on the most recent information from CMS, provider Nichell Latimore 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 ID1033548961Provider TypeIndividualFull NameLatimore, NichellGenderFemaleSole ProprietorYesEnumeration Date11/1/2013Last Updated11/1/2013Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 989-1093FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer