Individual ProviderJustin WoodsCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 N Broad St Ste A, New Orleans, LA 70119-5507(504) 577-1154PECOS EnrollmentBased on the most recent information from CMS, provider Justin Woods 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 ID1104486257Provider TypeIndividualFull NameWoods, JustinGenderMaleSole ProprietorNoEnumeration Date6/19/2019Last Updated6/19/2019Contact InformationPractice LocationPractice Address209 N Broad St Ste A, New Orleans, LA 70119-5507Phone(504) 577-1154FaxUnlisted FaxMailing LocationMailing Address209 N Broad St Ste A, New Orleans, LA 70119-5507PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer