Individual ProviderAlton Jermaine GuidryCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 S Union St, Opelousas, LA 70570-6029(337) 678-4004(337) 693-0159PECOS EnrollmentBased on the most recent information from CMS, provider Alton Jermaine Guidry 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 ID1043783137Provider TypeIndividualFull NameGuidry, Alton JermaineGenderMaleSole ProprietorNoEnumeration Date1/10/2019Last Updated1/10/2019Contact InformationPractice LocationPractice Address805 S Union St, Opelousas, LA 70570-6029Phone(337) 678-4004FaxUnlisted FaxMailing LocationMailing Address101 Harvest Sugar Row, Carencro, LA 70520-6183Phone(337) 693-0159FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer