Individual ProviderKeri BlaceBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 Bragaw St, Anchorage, AK 99508-3435(907) 258-7575PECOS EnrollmentBased on the most recent information from CMS, provider Keri Blace 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 12:57 PM.Profile DetailsProvider ID1144995903Provider TypeIndividualFull NameBlace, KeriGenderFemaleSole ProprietorNoEnumeration Date8/13/2021Last Updated8/13/2021Contact InformationPractice LocationPractice Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 258-7575FaxUnlisted FaxMailing LocationMailing Address1650 Bragaw St, Anchorage, AK 99508-3435PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer