Individual ProviderJayliah CrandallRegistered NurseNursing Service ProvidersPractice Address42 N Main St, Spring Valley, NY 10977-4906(844) 828-2666PECOS EnrollmentBased on the most recent information from CMS, provider Jayliah Crandall 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 yesterday at 11:54 AM.Profile DetailsProvider ID1144110081Provider TypeIndividualFull NameCrandall, JayliahGenderFemaleSole ProprietorYesEnumeration Date7/3/2025Last Updated7/3/2025Contact InformationPractice LocationPractice Address42 N Main St, Spring Valley, NY 10977-4906Phone(844) 828-2666FaxUnlisted FaxMailing LocationMailing Address141 Sunset Blvd, Bronx, NY 10473-2480PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense907219New York