Individual ProviderLatonya Jean AllenCase Manager/Care CoordinatorOther Service ProvidersPractice Address44443 10th St. West, Lancaster, CA 93534(661) 726-2630PECOS EnrollmentBased on the most recent information from CMS, provider Latonya Jean Allen 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 ID1124668470Provider TypeIndividualFull NameAllen, Latonya JeanCredentialMAGenderFemaleSole ProprietorYesEnumeration Date1/14/2020Last Updated1/14/2020Contact InformationPractice LocationPractice Address44443 10th St. West, Lancaster, CA 93534Phone(661) 726-2630Fax(661) 940-3412Mailing LocationMailing Address44443 10th St. West, Lancaster, CA 93534Phone(661) 726-2630Fax(661) 940-3412Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer