Individual ProviderDonny GranisonCase Manager/Care CoordinatorOther Service ProvidersPractice Address1008 Venice Ave, Hammond, LA 70403-5454(985) 662-3799PECOS EnrollmentBased on the most recent information from CMS, provider Donny Granison 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 8 days ago.Profile DetailsProvider ID1164936076Provider TypeIndividualFull NameGranison, DonnyGenderMaleSole ProprietorNoEnumeration Date11/30/2017Last Updated6/7/2019Contact InformationPractice LocationPractice Address1008 Venice Ave, Hammond, LA 70403-5454Phone(985) 662-3799Fax(985) 662-3829Mailing LocationMailing Address1008 Venice Ave, Hammond, LA 70403-5454Phone(985) 662-3799Fax(985) 662-3829Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer