Individual ProviderDamion A MartinCase Manager/Care CoordinatorOther Service ProvidersPractice Address3901 Ulloa St, New Orleans, LA 70119(504) 267-5712(240) 752-5265PECOS EnrollmentBased on the most recent information from CMS, provider Damion A Martin 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 ID1053865113Provider TypeIndividualFull NameMartin, Damion ATitleMr.CredentialB.A.GenderMaleSole ProprietorNoEnumeration Date8/6/2016Last Updated6/6/2018Contact InformationPractice LocationPractice Address3901 Ulloa St, New Orleans, LA 70119Phone(504) 267-5712Fax(504) 267-5714Mailing LocationMailing Address176 Ursula Dr, Avondale, LA 70094-2835Phone(240) 752-5265FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisiana