Individual ProviderRaanda D ListSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4444 E 41st St, Tulsa, OK 74135-2527(918) 619-4400PECOS EnrollmentThis provider is enrolled in PECOS as RAANDA LIST.Based on the most recent information from CMS, provider Raanda D List is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1174300438Provider TypeIndividualFull NameList, Raanda DGenderFemaleSole ProprietorNoEnumeration Date9/11/2023Last Updated9/11/2023Contact InformationPractice LocationPractice Address4444 E 41st St, Tulsa, OK 74135-2527Phone(918) 619-4400Fax(918) 660-3132Mailing LocationMailing Address4502 E 41st St, Tulsa, OK 74135-2536PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense20483-POklahoma