Individual ProviderJackie EssaryCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850(661) 266-4398PECOS EnrollmentBased on the most recent information from CMS, provider Jackie Essary 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 9:16 AM.Profile DetailsProvider ID1063715571Provider TypeIndividualFull NameEssary, JackieGenderFemaleSole ProprietorNoEnumeration Date12/6/2010Last Updated12/6/2010Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address38996 Palm Tree Way, Palmdale, CA 93551-3871Phone(661) 266-4398FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer