Individual ProviderLindi PackBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24401 Peppermill Dr, Moreno Valley, CA 92557-3025(951) 212-9756PECOS EnrollmentBased on the most recent information from CMS, provider Lindi Pack 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 ID1114652641Provider TypeIndividualFull NamePack, LindiGenderFemaleSole ProprietorYesEnumeration Date7/19/2022Last Updated7/19/2022Contact InformationPractice LocationPractice Address24401 Peppermill Dr, Moreno Valley, CA 92557-3025Phone(951) 212-9756FaxUnlisted FaxMailing LocationMailing Address24401 Peppermill Dr, Moreno Valley, CA 92557-3025PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer