Individual ProviderMarissa EasleyHome HealthAgenciesPractice Address2870 Netherton Dr, Ste 103, Saint Louis, MO 63136-4649(314) 339-0061PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Easley 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 3 days ago.Profile DetailsProvider ID1134579428Provider TypeIndividualFull NameEasley, MarissaGenderFemaleSole ProprietorYesEnumeration Date6/16/2016Last Updated6/16/2016Contact InformationPractice LocationPractice Address2870 Netherton Dr, Ste 103, Saint Louis, MO 63136-4649Phone(314) 339-0061FaxUnlisted FaxMailing LocationMailing Address2870 Netherton Dr, Ste 103, Saint Louis, MO 63136-4649Phone(314) 339-0061FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted Issuer