Individual ProviderHarriet Anita BurksCase Manager/Care CoordinatorOther Service ProvidersPractice Address1269 California Ave SW, Camden, AR 71701-5313(870) 836-6468(870) 837-1495PECOS EnrollmentBased on the most recent information from CMS, provider Harriet Anita Burks 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 5 days ago.Profile DetailsProvider ID1134305212Provider TypeIndividualFull NameBurks, Harriet AnitaTitleMrs.CredentialMHPPGenderFemaleSole ProprietorYesEnumeration Date1/18/2008Last Updated1/18/2008Contact InformationPractice LocationPractice Address1269 California Ave SW, Camden, AR 71701-5313Phone(870) 836-6468FaxUnlisted FaxMailing LocationMailing Address1002 Austin St, Camden, AR 71701-7217Phone(870) 837-1495FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDNONEDescriptionOtherIssuerMENTAL HEALTH PARAPROFESArkansas