Individual ProviderAdeline BroussardCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 N Main St, Opelousas, LA 70570-6256(337) 942-6400PECOS EnrollmentBased on the most recent information from CMS, provider Adeline Broussard 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 11:02 AM.Profile DetailsProvider ID1063952489Provider TypeIndividualFull NameBroussard, AdelineGenderFemaleSole ProprietorNoEnumeration Date3/3/2017Last Updated1/21/2019Contact InformationPractice LocationPractice Address209 N Main St, Opelousas, LA 70570-6256Phone(337) 942-6400Fax(337) 948-7400Mailing LocationMailing Address209 N Main St, Opelousas, LA 70570-6256Phone(337) 942-6400Fax(337) 948-7400Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer