Individual ProviderDionne HollandCase Manager/Care CoordinatorOther Service ProvidersPractice Address1008 Venice Ave, Hammond, LA 70403(985) 662-3799PECOS EnrollmentBased on the most recent information from CMS, provider Dionne Holland 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 8 days ago.Profile DetailsProvider ID1083151542Provider TypeIndividualFull NameHolland, DionneGenderFemaleSole ProprietorYesEnumeration Date1/23/2017Last Updated7/9/2018Contact InformationPractice LocationPractice Address1008 Venice Ave, Hammond, LA 70403Phone(985) 662-3799FaxUnlisted FaxMailing LocationMailing Address1008 Venice Ave, Hammond, LA 70403-5454Phone(985) 662-3799Fax(985) 662-3829Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID600720433DescriptionMedicaidIssuerUnlistedLouisiana