Individual ProviderAlyssia Breion SmithCase Manager/Care CoordinatorOther Service ProvidersPractice Address1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119(504) 944-0453PECOS EnrollmentBased on the most recent information from CMS, provider Alyssia Breion Smith 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 ID1114577954Provider TypeIndividualFull NameSmith, Alyssia BreionGenderFemaleSole ProprietorNoEnumeration Date9/13/2019Last Updated9/13/2019Contact InformationPractice LocationPractice Address1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119Phone(504) 944-0453FaxUnlisted FaxMailing LocationMailing Address1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119Phone(504) 944-0453FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer