Individual ProviderAtavia Latriece NormanCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Atavia Latriece Norman 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 ID1093209702Provider TypeIndividualFull NameNorman, Atavia LatrieceTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date6/15/2018Last Updated2/10/2023Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850Fax(661) 726-2854Mailing LocationMailing Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850Fax(661) 726-2854Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer