Tyler L Washington | Modesto, CA • PECOS Search

Tyler L Washington

Adult Companion

Nursing Service Related Providers

1001 Needham St, Modesto, CA 95354-0730

PECOS Enrollment

Based on the most recent information from CMS, provider Tyler L Washington does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1144044595
Provider Type
Individual
Full Name
Washington, Tyler L
Gender
Male

Sole Proprietor
Yes
Enumeration Date
11/12/2024
Last Updated
5/15/2025

Contact Information

Practice Location

1001 Needham St, Modesto, CA 95354-0730

Unlisted Fax

Mailing Location

1001 Needham St, Modesto, CA 95354-0730

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 372600000X Primary	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer